中西医结合治疗肺性脑病临床研究

作者	单位
蔡瑞锦	昆明市中医医院!昆明650011
罗桓进	昆明市中医医院!昆明650011
肖云	昆明市中医医院!昆明650011
陈黎敏	昆明市中医医院!昆明650011

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中文摘要:

目的 :探讨中西医结合治疗肺性脑病的临床疗效。方法 :将 83例肺性脑病患者随机分为中西医结合治疗组 (治疗组 )与单纯西药治疗组 (对照组 )。治疗方法 :治疗组除西药治疗同对照组外 ,还加用中药清热解毒 ,镇静安神、醒脑开窍、菌毒并治 ,以及通腑泻热的方法。对照组给予持续低流量吸氧 ,必要时给予呼吸机辅助呼吸 ,并予平喘、祛痰药改善通气 ;抗生素以足量、联合静脉给药为原则 ;利尿脱水以缓和、小量、联合、间歇使用为原则。尽早使用抗肺脑合剂。结果 :治疗组总有效率达 83 0 % ,与对照组 (63 9% )比较 ,经统计学处理有显著性差异 (P <0 0 5 ) ,且治疗组神志转清楚时间短于对照组 ,经统计学处理有显著性差异 (P <0 0 1 )。结论 :本研究为今后中西医结合治疗肺性脑病提供了方法和经验。

英文摘要:

Objective: To explore the clinical effectiveness of integrated traditional Chinese and Western medicine (TCM WM) on pulmonary encephalopathy. Methods: Eight three patients of pulmonary encephalopathy were allocated randomly into the TCM WM group and the control group. The therapeutic method for the control group including continuous low flow oxygen intake with mechanical ventilation available when necessary, antiasthmatics and expectorants improve ventilation, sufficient and combined intravenous infusion of antibiotics, and presccription of diuretics for dehydration under the therapeutic principle of mild, small dosage, combined and intermittent in use. For the TCM WM group, besides above mentioned medication, Chinese medicine of clear up the Heat and toxin, tranquilizing, restore consciousness and induce resuscitation, bactericiding and expelling their toxin. The anti pulmonary encephalopathy injection was given as soon as possible. Results: The total effective rate of the TCM WM group reached 83.0% and was higher than that of the control group (63.9%) significantly (P<0 05). Time for restoring consciousness in the former was also shorter than that of the latter significantly (P<0 01). Conclusion: This study provided both method and experience for the treatment of pulmonary encephalopathy with TCM WM.

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