涤痰汤辅助治疗肺性脑病的临床疗效观察-中西医结合临床(呼吸方向)专业论文.docxVIP

PAGE PAGE 2 涤痰汤辅助治疗肺性脑病的临床疗效观察 中文摘要 目的：观察中药涤痰汤辅助治疗轻、中型肺性脑病，中医辨证为痰蒙神窍型患者 的临床疗效。 方法：将 30 例符合西医肺性脑病诊断标准，分型为轻、中型，中医辨证为痰蒙 神窍型患者，随机分为治疗组 15 例、对照组 15 例。对照组采用西医治疗，治疗 组在西医治疗的基础上加用中药涤痰汤治疗，疗程为 10 天。观察两组治疗前后 的临床疗效、中医证候评分、平均意识恢复时间、血常规指标（白细胞计数、中 性粒细胞百分比）、血气分析（PH 值、PaO2、PaCO2）指标的变化。 结果：（1）涤痰汤可有效改善轻、中型肺性脑病患者的临床症状（与对照组相比， P＜0.05）；（2）涤痰汤可有效改善轻、中型肺性脑病患者的中医证候评分（与对 照组相比，P＜0.05）；（3）涤痰汤可缩短轻、中型肺性脑病患者平均意识恢复时 间（与对照组相比，P＜0.05）；（4）涤痰汤对轻、中型肺性脑病患者血常规指标 无改善（与对照组相比，P＞0.05，无统计学意义）；（5）涤痰汤可改善轻、中型 肺性脑病患者血气分析指标（与对照组相比，P＜0.05）。 结论：涤痰汤可有效改善轻、中型肺性脑病患者的临床症状、中医证候评分、血 气分析指标、缩短平均意识恢复时间，但对血常规指标无改善。 关键词：轻、中型肺性脑病；痰蒙神窍；涤痰汤；临床疗效观察 ABSTRACT Objective:To observe the effect of traditional Chinese medicine Ditan Decoction on light and medium-sized pulmonary encephalopathy ,phlegm clouding clear orifices in patients with the clinical efficacy. Methods: Will be 30 cases of light and medium-sized pulmonary encephalopathy 、phlegm clouding clear orifices were randomly divided into 15 cases of treatment group ,15 cases of the control group. Control group, pulmonary encephalopathy adopt Western treatment, the treatment group on the basis of traditional Chinese medicine and Western medicine treatment plus Ditan Decoction treatment , treated for ten days. The two groups were observed before and after treatment the clinical efficacy, TCM Syndrome effect, the average awareness of recovery time, serological indicators (WBC, neutrophil percentage), blood gas analysis (PH value, PaO2, PaCO2). Results: (1) Ditan Decoction can effectively improve the light and medium-sized pulmonary encephalopathy in patients with clinical symptoms (compared with the control group, P 0.05); (2) Ditan Decoction can effectively improve the light and medium-sized patients with pulmonary encephalopathy TCM Syndrome score (compared with the control group, P 0.05); (3) Ditan Decoction could reduce the light and medium-sized pulmonary encephalopathy in patients with an average of consciousness recovery time (compared with the control group, P 0.05); (4