加味二陈汤联合西药治疗老年社区获得性肺炎痰湿阻肺证的临床观察

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Clinical Observation of Modified ErchenDecoction Combined withWestern Medicine inthe Treatmentof Elderly CommunityAcquired Pneumonia with Syndrome of Phlegm-damp Obstructing Lung

ZHOU Xin，ZHANGQixin

（DepartmentofEmergency，LepingHospitalofTraditionalhineseedicine，Leping333oo，Jiangxi，hina）

Abstract：ObjectiveTobservethelinicalfectofmodifiedErchendecoctioncombinedwithwestemedicineinthetreatmentfelderly community-acquiredpeumoniawithsynromeofegmdampbstructinglungMethodsAoalof64elderlycommunityacquiredpeoa patientswithsydroeofpgdstructingungheretreaedinepingHspitalofTditioalCineseMedicinefromJauary2o March202wereseleedstseachectsccodingtothndomumberableetodteyeredvidedintootrolgoupndudy group，with32patientsieachgroup.hecontrolgrouastreatedwithconventioalwestemedicinndthesudygroupastreatedith modifedErfaluci breathdisaialel （PCT），neutrophil ratio （NEUT % ），white bloodcellcount （WBC），C-reactive protein （CRP）]levels，andTCMsyndromes （cough，fever，expectoration， chest tightness，fatigue） scores were compared between the two groups.Results Compared with 7 5 . 0 0 % of the total effectiverateof thecontrol group， the total effective rate of the study group was higher，reaching 9 6 . 8 8 % （ P<0 . 0 5 ） .Compared with the control group，the disappearance time of cough， thedisappearaforsofattotioiftiotovifdmpureda of rales in the study group were shorter .Compared with before treatment，the levelsof WBC， ，CRP and PCT in the two groups decreased after treatment，and compared with the control group，the levels of WBC， N E U T % ，CRP and PCTin the study group were lower after treatment（ P<0 . 0 5 ） .Comparedwithbeforetreatment，thescoresofTCMsymptomsinthetwogroupsdecreasedaftertreatment，andcomparedwith the control group，the scores of TCM symptoms in the study group were lower after treatment（ .Conclusion Modified Erchen decoction combinedwithwesteedicineasdfitelinicaleectintetreamentoflderlyommunityacqidpeumoiapatientsithsdrof phlegm-ampbstructinglung，hichcanaccelerateteimprovementofclinicalsmtomsandreduceinflammatoryrespose.Itisworthyf clinical application.

Keywords：oiiedEchendcoctio；Westeeicinetreatmnt；CommuityacqredpeuoainteelderlySydromeofeap obstructing lung

老年社区获得性肺炎（communityacquiredpneumoniaintheelderly）指的是患者在院外发生的感染性肺实质炎症，发病率、死亡率较高，已成为社会各界高度重视的公共卫生问题[12]。（剩余4947字）