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目的:观察麻杏甘石汤加味辅助治疗医院获得性肺炎的疗效及其对炎症指标的影响。方法:选取符合纳入标准的医院获得性肺炎患者共60例,随机分为治疗组和对照组,每组各30例。对照组只给予西医一般治疗措施,治疗组在对照组基础上予以麻杏石甘汤加味。治疗10天后,比较两组临床疗效及两组治疗前后C反应蛋白(CRP)及降钙素原(PCT)的变化。结果:两组疗效比较,治疗组总有效率高于对照组,差异有统计学意义(P<0.05);两组治疗前后比较,两组治疗后CRP及PCT数值均下降,差异有统计学意义(P<0.01)。两组治疗后比较,治疗组治疗后CRP及PCT数值下降明显,差异有统计学意义(P<0.05)。结论:麻杏甘石汤加味辅助治疗医院获得性肺炎疗效好,可能与其明显降低CRP及PCT水平有关。
Objective: To observe the effect of Supplemented Maxing Gan Shi Tang adjuvant therapy on hospital acquired pneumonia and its effect on inflammation index. Methods: A total of 60 patients with hospital-acquired pneumonia who met the inclusion criteria were randomly divided into treatment group and control group, with 30 patients in each group. The control group only gave general treatment of Western medicine, and the treatment group was given Maxing Shigan Decoction based on the control group. After 10 days of treatment, the clinical efficacy and the changes of C-reactive protein (CRP) and procalcitonin (PCT) before and after treatment were compared between the two groups. Results: The total effective rate of the two groups was higher than that of the control group (P <0.05). Before and after treatment, the CRP and PCT values of both groups decreased after treatment, the difference was statistically significant (P <0.01). After treatment, the CRP and PCT values of the two groups decreased significantly after treatment, with significant difference (P <0.05). Conclusion: Supplemented with Maxing Gan Shi Tang adjuvant treatment of hospital-acquired pneumonia curative effect may be related to its significantly lower CRP and PCT levels.