李红燕

[摘要] 目的 探讨痰热清注射液在急性支气管炎伴发热中的应用效果。 方法 我院2012年1月～2013年12月间收治的急性支气管炎伴发热患者86例，按照治疗方案分为对照组和观察组，对照组患者给予阿奇霉素治疗，观察组在对照组基础上给予痰热清注射液，比较两组治疗总有效率、患者症状体征消失时间及治疗过程中不良反应；随访3～6个月，观察复发情况。 结果 观察组43例患者治疗总有效率达到93.02%（40/43），明显高于对照组；患者发热、咳嗽气喘、肺部湿啰音消失及胸片恢复正常时间均明显短于对照组；治疗过程中不良反应发生率2.33%（1/43）明显低于对照组。结论 急性支气管炎伴发热治疗中，应用痰热清注射液可有效地提高治疗效果，降低不良反应发生率及复发率，值得临床推广应用。

[关键词] 痰热清注射液；急性支气管炎；发热

[中图分类号] R725.6 [文献标识码] B [文章编号] 2095-0616（2014）17-56-03

[Abstract] Objective To investigate the application effects of Tanreqing injection for acute bronchitis complicated by fever. Methods Eighty-six patients with acute bronchitis complicated by fever admitted to our hospital from January 2012 to December 2013 were selected and divided into the control group and the observation group according to the treatment scheme. The control group received azithromycin treatment and the observation group received Tanreqing injection on the basis of the control group. The total effective rates， the disappearance time of patients' symptoms and sings and the adverse reactions during treatment of the two groups were compared. After 3 to 6 months of follow-up visits， the recurrence situation was observed. Results The total effective rate of the 43 patients of the observation group was 93.02% （40/43）， which was significantly higher than that of the control group. The observation group had significantly shorter fever， cough and asthma， lung most rale disappearance and chest image recovery time than the control group. During treatment，the incidence of adverse reactions of the observation group was 2.33% （1/43）， which was significantly lower than that of the control group. Conclusion In the treatment of acute bronchitis complicated by fever， the application of Yanreqing injection can effectively improve the treatment effects， and reduce the incidence and recurrence of adverse reactions， thereby worthy of clinical promotion and application.

[Key words] Tanreqing； Acute bronchitis； Fever

急性支气管炎是临床常见病之一，是由病毒或细菌等病原体感染引起的支气管黏膜炎症，疾病若不能及时控制可引发肺部感染，严重者还可引起呼吸衰竭。疾病临床主要表现为咳嗽、咯痰、气喘，部分患者可伴畏寒发热。近年来临床实践中发现，急性支气管炎伴发热患者易发生耐药菌感染，常规治疗效果难以令人满意。痰热清注射液是肺炎治疗中常用的中成药之一[1]，清热、解毒、化痰效果确切，为探讨其对急性支气管炎伴发热的治疗效果，特对我院收治的急性支气管炎伴发热患者临床资料进行回顾性分析，现报道如下。……