针药结合治疗卒中相关性肺炎痰湿蕴肺证的临床观察

摘要/Abstract

摘要： 目的探讨针刺联合茯苓饮对卒中后肺炎患者（痰湿蕴肺证）病情严重程度、血清炎症因子及并发症的影响,总结出一种中西医结合的优势方案。方法选取2019年10月—2021年12月新沂市中医医院收治的60例卒中相关性肺炎（痰湿蕴肺证）患者,根据患者入院时间顺序交替编入观察组和对照组,每组30例。对照组予以一般常规治疗和茯苓饮内服（包括护理、排痰、氧疗、抗板、抗凝、消炎等）,观察组在对照组基础上配合针刺。比较两组治疗后肺炎严重程度、血清炎症因子水平、临床疗效及出现并发症情况。结果治疗前,两组肺炎严重程度及血清炎症因子水平比较,差异无统计学意义（P>0.05）;治疗后,观察组肺炎严重程度及血清炎症因子水平均低于对照组,差异有统计学意义（P<0.05）。观察组总有效率高于对照组,差异有统计学意义（P<0.05）。观察组抗生素相关性腹泻的发生率低于对照组,但组间差异无统计学意义（P>0.05）。结论针刺联合茯苓饮可以减轻卒中相关性肺炎（痰湿蕴肺证）的严重程度,降低血清炎症因子水平及提高临床疗效,同时还能减少抗生素相关性腹泻的发生。

关键词: 卒中相关性肺炎, 茯苓饮, 针刺, 疗效观察

Abstract: Objective To explore the effect of acupuncture combined with Fuling Decoction on the severity of the disease, serum inflammatory factors and complications of stroke associated pneumonia (phlegm dampness accumulated in the lung type), and summarize a superior scheme of integrating traditional Chinese and Western medicine. Methods A total of 60 patients with post-stroke pneumonia of phlegm dampness accumulation type were divided into observation group and control group according to the order of admission time, with 30 cases in each group. The control group was treated with general routine treatment and Fuling Decoction, while the observation group was treated with acupuncture on the basis of general routine treatment. The severity of pneumonia, serum inflammatory factors, clinical efficacy and complications were compared between the two groups. Results Before treatment, there was no significant difference in the severity of pneumonia and serum inflammatory factors between the two groups (P>0.05). After treatment, the severity of pneumonia and serum inflammatory factors in the observation group were lower than those in the control group (P<0.05); the total effective rate of the observation group was higher than that of the control group (P<0.05); the incidence of antibiotic related diarrhea in the observation group was lower than that in the control group, but there was no significant difference between the two groups (P>0.05). Conclusion Acupuncture combined with Fuling Decoction can reduce the severity of stroke associated pneumonia (phlegm dampness accumulation in the lung type), reduce the serum inflammatory factor index and improve the clinical efficacy, and also reduce the incidence of antibiotic related diarrhea.

Key words: post-stroke-associated pneumonia, Fuling Decoction, acupuncture, curative effect observation

中图分类号:

R246.6

吴常征, 刘晶, 王利, 朱璇璇, 马丽婧. 针药结合治疗卒中相关性肺炎痰湿蕴肺证的临床观察[J]. 中华养生保健, 2023, 41(17): 11-14.

WU Chang-zheng, LIU Jing, WANG Li, ZHU Xuan-xuan, MA Li-jing. Clinical Observation on the Treatment of Stroke Related Pneumonia (Phlegm Dampness Accumulated in the Lung Type) Based on Acupuncture Combined with Fuling Decoction[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(17): 11-14.

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