桑菊饮合清金汤加减治疗病毒性肺炎急性加重期的效果观察

Observation on the Effect of Combining Sangju Drink and Qingjin Tang Plus Reduction in the Treatment of Acute Exacerbation of Viral Pneumonia

摘要: 目的：主要通过观察桑菊饮合清金汤加减合用，验证其在治疗病毒性肺炎急性加重期的临床效果。方法：按照研究要求随机将82例病毒性肺炎患者分为两组，其中对照组(41例)采用常规西药治疗，观察组(41例)在此基础上加用桑菊饮合清金汤随证加减，观察并记录两组患者的临床疗效，评估治疗后较治疗前实验室检查指标(WBC、LYMPHN、NEUT、MONON、ESR、CRP、PCT等)，影像学显示(肺部CT)的改变程度。结果：观察组、对照组的有效率分别是95.11%和80.78%，且前者有效率明显高于后者(P < 0.05)。经一个疗程的治疗后，观察组、对照组的肺部CT及实验室检查结果都取得一定程度的改善，其中前者的改善效果相于后者更显著(P < 0.05)。结论：桑菊饮合清金汤加减治疗法在临床上面可以明显看出对病毒性肺炎急性加重病症的治疗成效，很大程度上改善治疗有效率，其临床疗效确切，具有推广价值。

Abstract: Objective: To verify the clinical effect of Sangju Drink combined with Qingjin Tang in the treatment of acute exacerbation of viral pneumonia by observing the combination of Sangju Drink and Qingjin Tang plus and minus. Methods: In accordance with the requirements of the study, 82 patients with viral pneumonia were randomly divided into two groups, in which the control group (41 cases) was treated with conventional western medicines, and the observation group (41 cases) was treated with the addition of Sangju Drink and Qingjin Tang with additional subtractions according to the evidence, and the control group (41 cases) was treated with conventional western medicines. Observe and record the clinical efficacy of the two groups of patients, and assess the indicators of laboratory tests after treatment compared with those before treatment (WBC, LYMPHN, NEUT, MONON, ESR, CRP, PCT, etc.), the degree of change shown on imaging (CT of the lungs). Results: The effective rates of the observation group and the control group were 95.11% and 80.78%, respectively, and the effective rate of the former was significantly higher than that of the latter (P < 0.05). After one course of treatment, the CT and laboratory findings of the lungs of the observation group and the control group improved to a certain extent, with the improvement of the former group being more significant than that of the latter group (P < 0.05). Conclusion: The treatment of acute exacerbation of viral pneumonia with the addition and subtraction of Sangju Drink and Qingjin Tang can be clearly seen in the clinic, which can improve the treatment efficiency to a large extent, and its clinical efficacy is exact and has the value of popularization.