重症社区获得性肺炎中西医研究进展Research progress of Chinese and Western medicine of severe community acquired pneumonia
林浩;奚肇庆;
摘要(Abstract):
总结历代中医著作中关于肺炎(包括了咳嗽、哮喘、肺痈、肺痿等)的论述,研究现代医学关于重症社区获得性肺炎的新观点和新疗法,中西结合方法治疗重症社区获得性肺炎是进一步提高本病疗效、降低死亡率的有效路径。治疗原则首先是抗微生物的治疗,其次是辅助及支持治疗,同时结合中医辨证分型的中药治疗,可显著改善患者的预后。
关键词(KeyWords): 社区获得性肺炎;肺炎链球菌;抗微生物;咳嗽
基金项目(Foundation): 国家中医药行业专项课题:透表清气法治疗外感高热中医急症(08041)
作者(Author): 林浩;奚肇庆;
Email:
DOI: 10.13463/j.cnki.jlzyy.2014.11.030
参考文献(References):
- [1]Mandell L A,Wunderink R G,Anzueto A,et al.Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults[J].Clin Infect Dis,2007,44(Suppl2):S27-72.
- [2]Almirall J,Bolibar I,Balanzo X,et al.Risk factors for community-acquired pneumonia in adults:a population-based casecontrol study[J].Eur Respir J,1999(13):349-355.
- [3]Lim W S,Vander Eerden M M,Laing R,et al.Defining community acquired pneumonia severity on presentation to hospital:an international derivation and validation study[J].Thorax,2003(58):377-82.
- [4]Everitt A R,Clare S,Pertel T,et al.IFITM3 restricts the morbidity and mortality associated with influenza[J].Nature,2012(484):519-523.
- [5]Rodriguez A,Diaz E,Martin-Loeches I,et al.Impact of early oseltamivir treatment on outcome in critically ill patients with2009 pandemic influenza A[J].J Antimicrob Chemother,2011(66):1140-1149.
- [6]Guérin C,Reignier J.Prone positioning in severe acute respiratory distress syndrome[J].N Engl J Med,2013,368(23):2159-2168.
- [7]Rivers E,Nguyen B,Havstad S,et al.Early goal-directed therapy in the treatment of severe sepsis and septic shock[J].N Engl J Med,2001(345):1368-1377.
- [8]Dellinger R P,Levy M M,Rhodes A,et al.Surviving sepsis campaign:international guidelines for management of severe sepsis and septic shock:2012[J].Crit Care Med,2013,41(2):580-637.
- [9]刘清泉.对脓毒症中医病机特点及治法的认识[J].北京中医,2007,26(4):198-200.
- [10]魏葆琳.纠正胃肠功能紊乱在重症肺炎治疗中的意义[J].辽宁中医杂志,2011,38(7):279-280.
- [11]张弘.重症肺炎中西医结合防治概况[J].实用心脑肺血管病杂志,2010,5(12):419-423.
- [12]王海峰,李建生,余学庆,等.重证肺炎中医症候分布规律及症状特点研究[J].辽宁中医杂志,2010,34(11):2081-2083.
- [13]谭邦华.重症肺炎临床辨治体会[J].中国中医急症,2008,24(2):258-259.
- [14]李天星,李新民,孙丹,等.小儿肺炎喘嗽中医症候影响因素[J].吉林中医药,2013,33(10):982-984.
- [15]王海峰,李建生,余学庆,等.基于文献的重症肺炎中医证素组合规律研究[J].辽宁中医杂志,2009,36(12):2059-2061.
- [16]刘卫静,章宏伟,张淑兰,等.中医辨证分型结合西医治疗重症肺炎47例疗效观察[J].河北中医,2011,33(10):1502-1505.
- [17]陈嘉强.中西医结合辨证治疗重症肺炎的疗效观察[J].求医问药(下半月刊),2012,10(5):318.
- [18]童国强.132例急性重症肺炎患者治疗的临床分析[J].中国医药科学,2012,23(2):182-183.
- [19]杨吉荣.中药联合抗生素治疗急性重症肺炎66例临床观察[J].中国中医急症,2012,21(6):970.
- [20]杨丽果.中西医结合治疗小儿重症肺炎60例疗效观察[J].中国实用医药,2013,34(8):157-158.
- [21]范铁兵,杨志旭.重症肺炎证治体会察[J].中国中医急症,2013,22(1):73-74.