Clinical Efficacy Of Internal And External Treatment Of Pneumococcal Pneumonia (stagnation Of Phlegm And Blood Stasis Syndrome)

Purpose:This research studied the treatment of the internal and external remedies on adult mycoplasma pneumoniae pneumonia(lung phlegm heat syndrome)by observing main symptoms(cough,sputum),minor symptoms(fever,thirst,they dry),signs(auscultation),cooling time,cough significantly relieve the time,the total treatment time,and lung CT inflammation to compare the situation to explore the internal and external method in the treatment of adult Mycoplasma pneumoniae pneumonia clinical efficacy.Material and method:This research collected 137 cases who were confirmed mycoplasma pneumonia pneumonia(lung phlegm heat syndrome)in our hospital lung disease clinic and ward.A total of 47 patients were treated with levofloxacin,and 40 patients were randomly selected as control group.A total of 71 patients were treated with levofloxacin plus Chuanbei cough mixture combined with traditional Chinese medicine(deposited chest powder)+ infrared treatment,and it randomly selected 40 cases as a group of treatment.A total of 19 patients were treated with Chuanbei cough mixture combined with traditional Chinese medicine(deposited chest powder)+ infrared treatment.All we included all in the observation as the treatment group 2.And it recorded the three groups of TCM syndrome scores,fever time,cough relief time,total treatment time,pulmonary CT infection and clinical efficacy.Results: 1.Efficacy: The total effective rate was 82.5% in the control group.And the treatment group1 was 92.5%,while the treatment group 2 was 68.42%.Treatment group 1 was superior to the control group,treatment group 2,the difference was significant(P <0.05).2.The main symptoms:(1)In cough points aspects:(1)Three groups of treatment programs,in the treatment of 5 days and 10 days,have a significant effect(P <0.01).(2)Treatment for 5 days,treatment group 1 was better than the control group(P <0.01)and treatment group 2(P<0.05).Treatment for 10 days,treatment group 1 was better than the control group(P <0.01)and treatment group 2(P <0.01).(2)In the sputum points aspects:(1)Three groups of treatment,in the treatment of 5 days and 10 th day,have a significant effect(P <0.01).(2)Treatment for 5 days,The treatment group 1 was superior to the control group(P <0.01)and the treatment group 2(P <0.05).Treatment group 2 was superior to control group(P <0.05).Treatment for 10 days,treatment group 1 was better than the control group(P <0.01)and treatment group 2(P <0.05).(3)In the cough remission time :The treatment group 1 was superior to the treatment group(P <0.01)and the control group(P <0.01),and the difference was significant.3.Secondary symptom:(1)Reducing fever points:(1)The treatment group1 and control group of treatment regimens were significant(P <0.01)on the fifth day and tenth day of treatment.(2)There was no significant difference between the treatment group1 and the control group(P> 0.05)on the fifth day of treatment.On the 10 th day of treatment,no patients had fever.(2)In the number of days of reducing fever: There was no significant difference between the treatment group1 and the control group.(3)Thirsty points:(1)Three groups of treatment,in the treatment of 5 days and 10 th day,have a significant effect(P <0.05).(2)Treatment for 5 days,treatment group 1(P <0.01)and treatment group 2(P <0.01)were superior to the control group.(4).In the dry stool :(1)Treatment group 1 and treatment group 2 treatment in the treatment of the first 5 days and 10 days,the effect was significant(P <0.01).(2)Treatment for 5 days: Treatment group 1(P <0.01)and treatment group 2(P <0.01)were superior to the control group.Treatment for 10 days,treatment group 1(P <0.01)and treatment group 2(P <0.01)were superior to the control group.4.signs(auscultation):(1)Three groups of treatment regimens were significant(P <0.05)on the fifth day of treatment and 10 days of treatment.(2)Treatment for 5 days,treatment group 1 was better than the control group(P <0.05),and treatment group 2(P <0.05).Treatment for 10 days,treatment group 1 was better than the control group(P <0.05),treatment group 2(P <0.01).5.Inflammation of pulmonary CT infiltrates:Treatment group 1 was better than the control group(P <0.05),treatment group 2(P <0.01).Treatment group 2 was better than the control group(P <0.05).6.Overall efficacy:(1)Symptom total points:(1)Three groups of treatment regimens were significant(P <0.05)on the fifth day of treatment and tenth days.On the fifth day.Treatment group 1 was better than the control group(P <0.05),treatment group 2(P <0.01).Treatment group 2 was better than the control group(P <0.05).On the 10 th day.Treatment group 1 was better than the control group(P <0.05),treatment group 2(P <0.01).Treatment group 2 was better than the control group(P <0.05).(2)Overall treatment time: Treatment group 1 was better than the control group(P <0.01),and treatment group 2(P <0.01).The control group was better than Treatment group 2(P <0.01).Conclusion: 1.On the treatment of Western medicine combined with internal and external therapy in the treatment of Mycoplasma pneumoniae pneumonia(phlegm obstruction lung syndrome),the Clinical efficacy is significant.2.The main symptoms(cough and sputum)?secondary symptoms(thirst,dry stool),signs(auscultation),cough disappearance time,lung CT inflammation absorption,overall treatment time and total effective rate of mycoplasma pnemoniae in the treatment of internal and external governance of mycoplasma pneumoniae(phlegm-dampness syndrome)were better than the western medicine treatment group.3.Traditional Chinese medicine internal and external therapy were superior to western medicine treatment group in the relief of clinical evidence(sputum,thirst,dry stool)aspects.