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Research On Efficacy Of Pneumonia (Non Severe Community Acquired Pneumonia With The Phragmitis Adds The Other Decoction)

Posted on:2015-05-19Degree:MasterType:Thesis
Country:ChinaCandidate:X L HanFull Text:PDF
GTID:2284330431477512Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Object ivesTo observe the clinical efficacy of Phragmitis Decoction with Non severe community acquired pneumonia, to investigate the relationship between the Syndrome of phlegm heat obstructing lung and laboratory indicators of laboratory indexes, which including C reactive protein^fibrinogen,、sputum calcitonin.; to study the application value and the clinical significance of Phragmitis Decoction in the treatment of this disease.MethodsAccording to the order of treatment, the clinical60patients with CAP criteria (phlegm heat in the lung) were randomly divided into two groups. Using the random number table method, they can be divided into the treatment group and control group, each group having30patients. The experiment adopts the parallel design and control design method.The treatment group was given standard Western medicine treatment plus Phragmitis decoction treatment, while the control group only was used western medicine.we observed the clinical effects improvement in the groups of patients in the treatment;recorded the test results;analyzed the correlation between the experimental data and studied; recorded the adverse reactions in the process of treatment.Result1. Comparing the total curative effect, data results suggest that the treatment group is better than the control group.(P<0.05)2. Compared to the clinical score, there is a great difference in the two groups, the treatment group is better (P<0.05)3. By chi-square test, two groups of comparisons in terms of symptoms and signs. Both of them had no statistical difference before the treatment, while by Paired samples of Wilcoxon rank and inspection, compared before and after treatment the treatment effect, the difference of each group was obvious.(p<0.05)These Prompt that:compared with before treatment, the signs and symptoms of patients had improved significantly, which due to adopt the appropriate treatment. Using two independent samples of Wilcoxon rank and inspection, after a period of treatment, the symptoms of fever, and shortness of breath, chest pain, dry throat and others had no statistical difference in each group, which showing that symptoms and signs of pneumonia related improvements was broadly similar.4. The count of serum CRP and PCT is decreased obviously, The Clinical results were especially striking (p<0.05) and the number of the former was the same with the treatment group In the treatment group after the corresponding treatment (p <0.05), but the level of CRP and PCT of the treatment group was lower than the control group (p<0.05).5. Using T test, white blood cell counts of each group before treatment were no statistical difference, so that both of them were comparable. After treatment of3days and6days, the number of white blood cells were significantly decreased, which had significant difference.(P <0.01)with the method of two sample T test, Comparison the two groups had no statistical significance in the3th day(P>0.05), while had Statistically difference six days later.(P<0.01)6. By the rank and inspection, the results of chest X-ray in two groups compared with before treatment the treatment group pulmonary effusion shadows had dissipated, P<0.05, and that was significant different; while result of the control group was similar to the former (P<0.05), there were significant difference too.But contrasted the chest X-ray in the treatment group and that in the control group after treatment, there were no statistical significance.7contrasted the bacterial culture results and Pathogen clearance, the experimental group was similar with the control group. The results anti-infection treatment were effective (P<0.05). But Double infection more easily occurred in the control group.8. Safety index and adverse reactions:Before and after treatment, there was no obvious difference in these indicators, such as liver function, renal function and urine examination, stool routine; the results of general physical examination were same; adverse events occurred in the two groups had no statistical significance, which shows that the usage of the drugs are safeConclusion By statistical analysis research, prompt treatment of severe community-acquired pneumonia (phlegm heat harmony lung type) is safe and effective, and can improve the clinical curative effect, relieve clinical symptoms, shorten the heating time, effectively remove bacteria, control infection, promote inflammation absorption, and may reduce the occurrence of adverse events, such as double infection, curative effect is superior to pure western medicine treatment.
Keywords/Search Tags:Non severe community acquired pneumonia, Phragmitis Decoction Addsthe Other, Syndrome of phlegm heat obstructing lung, Clinicalcurative effect
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