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目的观察中西医结合治疗老年白血病医院肺感染的疗效。方法老年白血病医院肺感染的病例62例,随机分为二组,对照组应用经验性抗生素治疗,并参照药敏结果调整抗生素,联合组同时加用清开灵注射液30ml用生理盐水250ml稀释后静滴1次/d,疗程7～10d治疗,并给予适当支持治疗。观察疗效、退热时间、治疗前及治疗后5d血清CRP水平。结果联合组有效率91.2%(31/34),对照组有效率75.0%(21/28),二组比较差异有统计学意义(P<0.05)。联合组退热天数为(5.86±0.73)d,对照组为(8.95±0.64)d,二组比较差异有统计学意义(P<0.05)。二组患者治疗前及治疗后5d血清CRP水平比较差异有统计学意义(P<0.01),二组治疗后比较差异也有统计学意义(P<0.05)。结论中药制剂对某些感染的治疗能达到标本兼治的目的,且不良反应小。
Objective To observe the curative effect of integrative traditional Chinese and western medicine on lung infection in elderly leukemia hospital. Methods Sixty-two elderly patients with pulmonary leukemia were randomly divided into two groups. The control group was treated with empirical antibiotics and the antibiotics were adjusted with reference to the drug susceptibility results. The combination group was treated with 30 ml of Qingkailing Injection and 250 ml of normal saline Intravenous infusion 1 / d, treatment 7 ~ 10d treatment, and give appropriate support and treatment. The curative effect, antipyretic time, serum CRP level before and 5 days after treatment were observed. Results The effective rate was 91.2% (31/34) in the combined group and 75.0% (21/28) in the control group. The difference between the two groups was statistically significant (P <0.05). The number of days of combination fever was (5.86 ± 0.73) d in the combined group and (8.95 ± 0.64) days in the control group, with significant difference between the two groups (P <0.05). There were significant differences in serum CRP levels between the two groups before treatment and 5 days after treatment (P <0.01). The difference between the two groups after treatment was also statistically significant (P <0.05). Conclusion The treatment of some infections with traditional Chinese medicine can achieve the goal of treating both the symptoms and the side effects with little adverse reactions.