摘要
目的观察中医干预对脑卒中后坠积性肺炎治疗结果的影响。方法选取2014年1月—2020年1月德州市中医院收治的76例脑卒中并发坠积性肺炎患者,随机分为对照组和观察组,各38例,2组均采用抗生素及雾化吸入,观察组加用清肺化痰汤口服、中药熏洗及针刺治疗。观察2组患者治疗7 d后PCT、WBC、CRP水平,临床症状缓解时间以及不良事件发生率。结果观察组治疗7 d后PCT、WBC、CRP水平低于对照组(P<0.05);治疗后临床症状缓解时间,其中包括体温恢复正常时间、肺部啰音消失时间以及胸片阴影消失时间均低于对照组(P<0.05);观察组不良反应发生率与对照组比较差异无统计学意义(P>0.05)。结论中医干预治疗脑卒中后坠积性肺炎能够更为有效地抑制炎症因子水平,消除肺炎症状及体征,促进偏瘫肢体早期康复。
Objective To observe the effect of traditional Chinese medicine intervention on the treatment of post-stroke hypostatic pneumonia.Methods 76 patients admitted to Dezhou hospital of traditional Chinese medicine from January 2014 to January 2020 who met the inclusion criteria were randomly divided into the control group and the observation group,with 38 cases in the control group and 38 cases in the observation group.Both groups were treated with antibiotics and aerosol inhalation,while the observation group was treated with Qingfei Huatan decoction,fumigation and acupuncture.The levels of PCT,WBC and CRP were observed 7 days after treatment,and the remission time of clinical symptoms after treatment and the incidence of adverse events were observed.Results After 7 days of treatment,the levels of PCT,WBC and CRP in the observation group were lower than those in the control group(P<0.05).The clinical symptoms remission time after treatment,including the time of body temperature returning to normal,the disappearance time of pulmonary rales and chest X-ray shadow disappearance time were lower than those of the control group(P<0.05),and the incidence of adverse events between the observation group and the control group was no difference(P>0.05).Conclusion Traditional Chinese medicine intervention in the treatment of post-stroke hypostatic pneumonia can more effectively inhibit the level of inflammation,eliminate symptoms and signs,and promote early rehabilitation of patients.
作者
颜世香
李晶晶
YAN Shixiang;LI Jingjing(Department of Encephalopathy,Dezhou Hospital of Traditional Chinese Medicine,Shandong Province,Dezhou 253013,China)
出处
《中国中医药现代远程教育》
2022年第9期100-102,共3页
Chinese Medicine Modern Distance Education of China
关键词
中风
脑卒中
坠积性肺炎
针刺疗法
中药熏洗
中医药疗法
stroke
cerebral apoplexy
hypostatic pneumonia
therapy of acupuncture
Chinese medicine fumigation and washing
therapy of traditional Chinese medicine
