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目的探讨复方清金化痰汤联合阿奇霉素在治疗老年社区获得性肺炎时的临床效果。方法将150例老年社区获得性肺炎患者,随机分为治疗组与对照组,每组各75例。二组患者均给予使用抗感染、止咳、祛痰等基础治疗,治疗组在此基础上联合复方清金化痰汤治疗。10d为1个疗程,治疗后观察比较二组患者治疗效果,比较二组患者退热时间,咳嗽、咳痰症状消失时间,肺部湿啰音消失时间及X线胸片片状阴影消散时间。结果治疗组疗效明显优于对照组(P<0.05)。治疗组退热时间,咳嗽、咳痰症状消失时间,肺部啰音消失时间及X线胸片片状阴影消散时间均快于对照组,经比较差异有统计学意义(P<0.01)。结论复方清金化痰汤联合阿奇霉素治疗老年社区获得性肺炎疗效确切,在症状改善方面有明显优势,能够加快患者恢复,值得临床推广应用。
Objective To investigate the clinical effect of compound Qingjin Huatan Decoction combined with azithromycin in the treatment of elderly community-acquired pneumonia. Methods 150 elderly patients with community-acquired pneumonia were randomly divided into treatment group and control group, with 75 cases in each group. Two groups of patients were given the use of anti-infective, cough, expectorant and other basic treatment, the treatment group on this basis combined with compound Qingjin Huatang Decoction treatment. 10d for a course of treatment after treatment were observed and compared the therapeutic effect of two groups of patients, the two groups of patients with antipyretic time, cough, expectoration symptoms disappear time, lung wet rales disappear time and X-ray chest shadow disappear time. Results The treatment group was significantly better than the control group (P <0.05). The treatment group fever time, cough, expectoration disappear time, pulmonary rales disappear time and X-ray chest film flake dissipation time is faster than the control group, the difference was statistically significant (P <0.01). Conclusion Compound Qingjin Huatan Decoction combined azithromycin in the treatment of elderly community-acquired pneumonia is effective and has obvious advantages in symptom improvement, which can accelerate the recovery of patients and is worthy of clinical application.