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目的 探讨老年肺炎的临床特点与治疗方法。方法 总结了 10 5例中西医结合治疗的老年肺炎病例 ,并与同期住院的 35例青中年肺炎病例以及 110例纯西药治疗的老年肺炎病例的临床资料进行对比与疗效分析。结果 中西医结合治疗的老年组喘息、心悸、纳差、舌暗、苔黄腻、脉弦滑等症均明显多于青中年组 (P <0 0 5及P <0 0 1) ;胸片以支气管肺炎居多 (P <0 0 1)。中西医结合与纯西药治疗临床疗效差异有显著性 (P <0 0 5 )。结论 老年肺炎的临床表现有其特殊性 ,治愈率低 ,死亡率高 ;中西医结合治疗能明显提高其治疗效果 ,且中药在解毒、祛痰、平喘、提高机体抵抗力等方面能发挥特长。
Objective To investigate the clinical features and treatment of senile pneumonia. Methods The clinical data of 105 cases of senile pneumonia treated with integrated traditional Chinese and western medicine were summarized and compared with the clinical data of 35 cases of young and middle-aged pneumonia admitted in the same period and 110 cases of pure pneumonia treated with western medicine in the same period. Results Compared with the middle-aged group (P <0.05 and P <0.01), the elderly patients treated with TCM-WM combined with asthma had palpitation, palpitations, anorexia, tongue darkness, The majority of bronchial pneumonia (P <0.01). There was significant difference between the two groups in clinical efficacy (P <0.05). Conclusion The clinical manifestation of senile pneumonia has its own particularity, the cure rate is low and the mortality rate is high. Integrative Chinese and Western medicine can obviously improve its curative effect. And Chinese medicine can exert its specialty in detoxification, expectorant, asthma and body resistance .