朱轶荣

[摘要] 目的 研究扶正清肺化痰法治疗老年肺部感染的临床疗效。 方法 选取我院2011年4月～2013年1月收治的80例肺部感染的老年患者为研究对象，随机分为两组，每组40例。对照组采取常规西医治疗，观察组在对照组的基础上加服扶正清肺化痰汤，比较两组临床疗效、治疗前后肺功能参数变化及治疗安全性。 结果 治疗后观察组的TLC、VC为（58.11±12.31）dL、（66.24±13.11）dL，高于对照组的（56.13±11.48）dL、（62.47±11.78）dL，但差异无统计学意义（P>0.05）；观察组的DLCO为（65.17±10.41）mmHg，高于对照组的（55.87±12.16）mmHg，差异具有统计学意义（P<0.05）。观察组治疗的总有效率为95.0%，高于对照组的80.0%，差异具有统计学意义（P<0.05）。两组均未见明显不良反应，肝肾功能、血尿常规检查均无异常。 结论 扶正清肺化痰法治疗老年肺部感染效果显著，能够提高患者的治愈率，降低病死率，改善肺功能，提高患者生活质量。

[关键词] 扶正清肺化痰法；肺部感染；老年患者；DLCO

[中图分类号] R259 [文献标识码] B [文章编号] 1673-9701（2015）35-0124-03

[Abstract] Objective To study the clinical curative effect of Fuzheng Qingfei Huatan method in the treatment of elderly pulmonary infection. Methods A total of 80 elderly patients with pulmonary infection who were admitted into the hospital during April 2011 to January 2013 were selected as the research objects， and were randomly divided into two groups with 40 cases in each group. The control group was treated with conventional western medicine， while the observation group on the basis of the control group， was additionally treated with Fuzheng Qingfei Huatan Decoction. The clinical efficacy and changes of pulmonary function parameters before and after the treatment was compared between the two groups. Results After the treatment， TLC and VC in the observation group was（58.11±12.31）dL and（66.24±13.11）dL， which was significantly higher than （56.13±11.48）dL and （62.47±11.78）dL in the control group， but the difference was not statistically significant （P>0.05）. DLCO（65.17±10.41）mmHg in the observation group， was higher than （55.87±12.16）mmHg in the control group， and the difference was statistically significant （P<0.05）. The total effective rate of the observation group was 95.0% which was higher than 80.0% of the control group and the difference was statistically significant（P<0.05） No obvious adverse reactions were found in two groups， the liver and kidney function， and the routine examination of blood and urine were not abnormal. Conclusion The effect of Fuzheng Qingfei Huatan decoction in the treatment of elderly patients with pulmonary infection is significant. It can improve the cure rate of patients， reduce the mortality rate， improve pulmonary function and improve the quality of life of the patients.

[Key words] Fuzheng Qingfei Huatan method； Pulmonary infection； Elderly patients； DLCO

肺部感染是一種严重危害人们健康的常见病、多发病。相关研究显示，老年人肺部感染的发病率约为青年人的10倍，50%以上的肺炎患者是60岁以上的老年人[1]。随着社会老龄化的进程，老年人肺部感染的发病率和病死率呈上升趋势，并均随着年龄的增长而上升。老年人肺部感染后往往临床表现不典型，常无明显呼吸系统症状，容易造成漏诊和误诊，且预后较差。中医认为肺部感染属于风温肺热病，基本病机为正气亏虛、毒瘀互结[2]，可采取扶正清肺化痰的治疗方法。本次研究采取对照研究方法，研究扶正清肺化痰法治疗老年肺部感染的临床疗效。现报道如下。

1 资料与方法

1.1 一般资料

选取我院2011年4月～2013年1月诊治的80例肺部感染的老年患者，其中男58例，女22例，年龄60～85岁，平均（71.31±3.13）岁；均有咳痰、胸闷、气喘等症状。其中发热23例，肺部可闻及干湿啰音34例，血常规白细胞及中性粒细胞偏高者23例，肺部X线检查均表现为肺部片状模糊影或肺纹理增粗紊乱。按照……