Objective To explore the effect of traditional Chinese medicine application combined with standard nursing on the prognosis of elderly patients with severe pneumonia.Methods A randomized controlled trial was conducted on 94 elderly patients with severe pneumonia admitted to Henan Provincial Hospital of Traditional Chinese Medicine from August 2020 to July 2022.They were randomly divided into an experimental group and a conventional group with the random number table method,with 47 patients in each group.There were 29 males and 18 females in the conventional group,aged(70.96±6.22)years,and they received routine treatment and nursing.There were 27 males and 20 females in the experimental group,aged(71.84± 6.12)years,and they received traditional Chinese medicine application combined with standard nursing on the basis of the conventional group.The remission time of symptoms and signs,hospitalization time,pulmonary function indexes[including forced vital capacity(FVC),forced expiratory volume in 1 s(FEV1),and peak expiratory flow(PEF)],arterial blood gas indexes[including partial pressure of blood oxygen(PaO2),partial pressure of carbon dioxide(PaCO2),and saturation of blood oxygen(Sa02)],clinical efficacy,and complication rates of the two groups were compared.The statistical methods adopted were t test and x2 test.Results The disappearance time of cough,shortness of breath,and lung moist rales,and hospitalization time in the experimental group were shorter than those in the conventional group[(5.41±1.26)d vs.(6.73±1.46)d,(2.76± 0.92)d vs.(3.44±1.13)d,(5.95±0.60)d vs.(7.22±1.63)d,(19.74±3.02)d vs.(23.48±5.16)d],with statistically significant differences(t=4.692,3.199,3.346,and 4.289;all P＜0.05).After 14 days of treatment,the FVC,FEV1,PEF,PaO2,and SaO2 in the experimental group were higher than those in the conventional group[(2.92±0.65)L vs.(2.55±0.51)L,(2.78±0.60)L vs.(2.48±0.47)L,(7.05±0.88)L/s vs.(6.17±0.79)L/s,(85.29±5.57)mmHg vs.(81.72±4.23)mmHg(1 mmHg=0.133 kPa),(95.72± 8.84)％vs.(90.41±7.52)％],and the PaCO2 was lower than that in the conventional group[(44.83± 5.32)mmHg vs.(47.45±6.19)mmHg],with statistically significant differences(t=3.070,2.698,5.102,3.499,3.174,and 2.201;all P＜0.05).The total effective rates of the experimental group and the conventional group were 89.36％(42/47)and 72.34％(34/47),respectively,and the total incidences of complications were 10.64％(5/47)and 27.66％(13/47),respectively,with statistically significant differences(both x2=4.398,both P=0.036).Conclusion Traditional Chinese medicine application combined with standard nursing can promote the disappearance of symptoms and signs in elderly patients with severe pneumonia,improve the lung function,blood oxygen,and curative effect,reduce the complications,shorten the hospital stay,and has a definite effect.
PneumoniaSevereElderlyTraditional Chinese medicine applicationStandard nursing
维普
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