【摘要】 目的：探究千金苇茎汤加减治疗痰热型重症肺炎患者的临床效果。方法：选择2022年6月—2024年1月三明市中西医结合医院重症医学科收治的100例痰热型重症肺炎患者，按照随机信封法分两组，各50例。对照组采用标准治疗，研究组在对照组基础上联用千金苇茎汤加减治疗，治疗21 d后，比较两组的临床疗效、肺功能指标及炎症因子水平。结果：研究组治疗总有效率高于对照组，咳嗽、肺啰音和发热消失时间均早于对照组，差异均有统计学意义(Plt;0.05)。治疗后，研究组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)均高于对照组，且降钙素原(PCT)、C反应蛋白(CRP)、白细胞计数(WBC)水平均低于对照组，差异均有统计学意义(Plt;0.05)。结论：千金苇茎汤加减辅助治疗痰热型重症肺炎效果较好，能够显著降低患者血清炎症因子水平，减轻肺部炎症反应，提高患者肺功能，改善其预后表现，治疗实用性较高。

    【关键词】 千金苇茎汤加减 标准治疗 痰热型重症肺炎 炎症刺激

    Clinical Effect of Modified Qianjin Weijing Decoction on the Treatment of Patients with Phlegm-heat Severe Pneumonia

    [Abstract] Objective： To explore the clinical effect of modified Qianjin Weijing Decoction on patients with phlegm-heat severe pneumonia. Method： A total of 100 patients with severe pneumonia of phlegm-heat type admitted to the Critical Care Medicine Department of Sanming Hospital of Integrated Chinese and Western Medicine from June 2022 to January 2024 were selected and divided into two groups according to random envelope method ......