实用医学杂志2017，Vol.33Issue(6)：1001-1004,4.DOI:10.3969/j.issn.1006-5725.2017.06.041
清热化痰通腑方直肠滴注治疗脑病并发肺部感染的疗效
Clinical observation of formula for clearing heat,eliminating phlegm and relaxing bowel on treating encephalopathy complicated with pulmonary infection
摘要
Abstract
Objective The efficacy and safety of rectal instillation with formula for clearing heat, eliminating phlegm and relaxing bowel on treating encephalopathy complicated with pulmonary infection were evaluated by randomized controlled clinical trials. Methods Eighty eligible cases of encephalopathy complicated with pulmonary infection were randomly divided into treatment group and control group. Control group was given conventional treatment and treatment group was given rectal instillation treatment with formula for clearing heat , eliminating phlegm and relaxing bowel. The changes of index were observed before and after treatment in two groups including temperature,antifebrile time,white blood cell count,neutrophils ratio,C-reactive protein,procalcitonin, pneumonia severity index,and the efficacy score of TCM syndrome. Results Rectal instillation with formula for clearing heat and eliminating phlegm to relax bowel can be better improved encephalopathy complicated with pulmonary infection with syndrome of phlegm-heat obstructing in which the patients have yellow sputum, constipation,yellow urinary and other symptoms. It can reduce TCM syndrome score and level of serum calcitonin, relieve inflammation,enhanc antibacterial effect,and improve the clinical curative effect. Conclusions The curative effects of rectal instillation with formula for clearing heat and eliminating phlegm to relax bowel on treating encephalopathy complicated with pulmonary is definite which has no adverse reaction and safety use. It is worthy of further popularizing in clinic.关键词
脑病/肺部感染/清热化痰通腑方/直肠滴注/疗效观察Key words
Encephalopathy/Pulmonary infection/Formula for clearing heat/eliminating phlegm and relaxing bowel/Rectal instillation/Clinical observation引用本文复制引用
吕军影,李凯,黄李平,谢爱泽,郑雪嘉,梁娟,刘双燕..清热化痰通腑方直肠滴注治疗脑病并发肺部感染的疗效[J].实用医学杂志,2017,33(6):1001-1004,4.基金项目
国家中医药管理局全国名老中医药专家传承工作室建设项目(编号:国中医药人教发[2014]20号) （编号:国中医药人教发[2014]20号）
广西医疗卫生适宜技术研究与开发课题(编号:S201414-07) （编号:S201414-07）
