Treatment Of Radiation Pneumonitis By Nourishing Yin,Clearing Away Heat And Cooling Blood Clinical Curative Effect Observation

Objective: radiation therapy(hereinafter referred to as radiation therapy)is widely used in lung cancer,breast cancer,esophageal cancer and mediastinal tumor,thymus gland tumor in breast cancer treatment.In chest each organ tissues,lung is sensitive to radiation relative,lung biological effects on more than the threshold value of radiation dose irradiation,the lung tissue around the tumor can produce different degree of damage,at the same time,within the radiation field of normal lung tissue is also produces after radiation injury lead to inflammation,the inflammatory response is called radioactive lung injury(RILI).Because in the process of radiation therapy,normal lung tissues by irradiation together,also will inevitably damage,radiation dose is restricted,then will eventually cause tumor local therapeutic effect of reduce the interruption of even the radiotherapy plan,severe radiation process.The incidence rate is 5 to 15 percent.The incidence of radiological changes was as high as 15%-100%.Radioactive lung injury early performance for radioactive pneumonia(RP),belongs to the acute phase reaction,lung parenchyma damage to a lesser degree,early intervention,treatment can be reversed by system;If there is no effective control of the radioactive pneumonia,the lung parenchyma is severely damaged,and the irreversible development of pulmonary fibrosis,which develops into the later stage of the disease,is known as RPF.When radiation lung damage occurs,the treatment effect,quality of life and prognosis of the patient will be severely affected,leading directly to death.Therefore,it is of great clinical value to treat the radioactive pneumonia early and control the complicationsMethods: two groups were given in(1)pneumonia 1,level 2: an injected with prednisolone 0.5-1mg/kg/d,the intravenous drip,according to the condition adjustment dose,symptoms improved gradually reduce the dose,for two to six weeks,while giving the prophylactic use of antibiotics.Level 3(2)pneumonia: an injected with prednisolone 1-1.5mg/kg/d,intravenous drip,according to the condition adjustment dose,symptoms improved gradually reduce the dose,for two to six weeks,while giving the prophylactic use of antibiotics.Treatment group the basis of the above scheme,combined with nourishing Yin clearing lung cool blood oral treatment,the composition of prescriptions are as follows: radix scutellariae 20 g,15 g,cortex moutan,salvia miltiorrhiza 20 g,20 g radix paeoniae rubra,radix asparagi 20 g,xuan and 20 g,12 g,schisandra bamboo shavings 10 g,white mulberry root-bark 15 g,radix trichosanthis,15 g almond 10 g.Water decoction,1 dose,2 in the morning and evening,4 weeks for a treatment,3 sessions in a row,12 weeks in total.Respectively in the treatment of 4 weeks,8 weeks,12 weeks observed in patients with cough,shortness of breath,weakness of TCM symptom such as change,scale,based on this evaluation project including patients with dyspnea degree,lung function and body function,through the score difference of two groups of patients,analysis the comprehensive efficacy of treatment of pneumonia and patients condition change,and preliminary exploration Yin qing lung cool blood party with antibiotic,hormone combination traditional Chinese and western medicine treatment of the clinical efficacy of radioactive pneumoniaResults: there were 30 cases of treatment group(combination of Chinese and western medicine)and 30 patients in the control group(simple western medicine),and 60 patients in total.Contrast,found that the treatment group total effectiveness 90%,higher than the control group total effective rate 73.3%,P < 0.05,the result is statistically significant.Conclusion: the curative effect of treatment group was obviously better than the control group.Conclusion: through the contrast observation experiment,nourishing Yin clearing lung cool blood party combine traditional Chinese and western medicine treatment of pneumonia with antibiotic,hormone,curative effect is significantly better than pure western medicine therapy,syndrome differentiation and treatment in traditional Chinese medicine overall view,under the guidance of thought,through the four diagnostic parameter,concrete analysis phase of patients,clinical manifestation,TCM syndrome types,basic diseases,etc.,according to traditional Chinese medicine(TCM)Yin qing lung cool blood clinical curative effect in the clinical treatment of radiation pneumonia,which can effectively relieve chest tightness,shortness of breath,and improve the patients clinical symptoms such as cough,cough up phlegm,reduce side effects,improve the overall curative effect,improve the patients quality of life,maintain physical and mental health.Nourishing Yin clearing lung cool blood establish on the basis of many years clinical experience,scientific formula,rational and reliable curative effect,significantly improve the clinical symptoms,relieve patients' pain,is a safe drug for the treatment of radioactive pneumonia.