疏风解毒胶囊联合莫西沙星治疗社区获得性肺炎的疗效观察

Efficacy of Shufeng Jiedu Capsule combined with moxifloxacin in the treatment of community-acquired pneumonia

  • 摘要: 目的 观察疏风解毒胶囊联合莫西沙星治疗社区获得性肺炎的疗效及对血清C反应蛋白(CRP)、降钙素原(PCT)、白细胞计数(WBC)的影响。 方法 利用计算机分组软件将84例社区获得性肺炎患者随机分为对照组和联合组,每组42例。对照组采用莫西沙星治疗,联合组在对照组基础上联合采用疏风解毒胶囊治疗,疗程均为7 d。观察2组临床症状缓解时间,比较2组治疗前后血清CRP、PCT、WBC水平与肺功能相关指标[第1秒用力呼气量(FEV1)、第1秒用力呼气量与用力肺活量比值(FEV1/FVC)、最大呼气流量(PEF)]水平。 结果 治疗后,联合组咳痰、胸痛、气促、肺部啰音缓解时间均短于对照组,差异有统计学意义(P<0.05); 治疗后, 2组血清CRP、PCT、WBC水平均低于治疗前,且联合组水平低于对照组,差异有统计学意义(P<0.05); 治疗后, 2组FEV1、FEV1/FVC、PEF水平均高于治疗前,且联合组水平高于对照组,差异有统计学意义(P<0.05)。 结论 疏风解毒胶囊联合莫西沙星治疗社区获得性肺炎临床效果较好,可降低血清CRP、PCT、WBC水平,改善患者肺功能。

     

    Abstract: Objective To explore the efficacy of Shufeng Jiedu Capsule combined with moxifloxacin in the treatment of community-acquired pneumonia and its influence on serum C-reactive protein(CRP), procalcitonin(PCT)and white blood cell(WBC)count. Methods A total of 84 community acquired pneumonia patients were randomly divided into control group and combined group by using computer software, with 42 cases in each group. The control group was treated by moxifloxacin, while the combined group was given Shufeng Jiedu Capsule combined with moxifloxacin, the treatment course lasted for 7 days. Clinical symptoms time was observed, serum CRP, PCT, the WBC level and lung function related parameters such as forced expiratory volume in 1 second(FEV1), ratio of FEV1 to forced vital capacity(FEV1/FVC), peak expiratory flow(PEF)before and after treatment of two groups were compared. Results The relief time of cough, chest pain, shortness of breath and rale in lung was significantly shorter in the combined group than those in the control group(P<0.05). Serum CRP, PCT and WBC levels in both groups decreased after treatment, and the above indexes in the combined group were significantly lower than those in the control group(P<0.05). The levels of FEV1, FEV1/FVC and PEF in both groups were increased after treatment, while the levels of FEV1, FEV1/FVC and PEF in the combined group were all significantly higher than those in the control group(P<0.05). Conclusion Shufeng Jiedu Capsule combined with moxifloxacin in the treatment of community acquired pneumonia has a good clinical effect, which can reduce serum CRP, PCT, WBC levels, and improve the pulmonary function of patients.

     

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