首页|清肺化痰汤联合针灸治疗脑卒中合并肺部感染的临床效果观察

清肺化痰汤联合针灸治疗脑卒中合并肺部感染的临床效果观察

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目的 探讨清肺化痰汤联合针灸在脑卒中合并肺部感染患者中的临床效果。方法 将 2021 年 6 月~2023 年 6 月收治的 100 例脑卒中合并肺部感染患者作为研究对象,按照随机数表法分为对照组及观察组,各 50 例。对照组进行常规西药治疗,观察组进行清肺化痰汤联合针灸治疗。比较两组患者血气指标、血常规、炎症因子水平和神经损伤功能评分,评估临床疗效。结果 治疗后,观察组的临床总有效率为 94。00%,对照组为 80。00%,观察组临床总有效率明显高于对照组(P<0。05);治疗后,观察组的动脉血氧分压、动脉二氧化碳分压、酸碱平衡指标均明显优于对照组,差异有统计学意义(P<0。05);治疗后,观察组的中性粒细胞比例和白细胞计数均优于对照组,差异有统计学意义(P<0。05);治疗后,观察组患者的的白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平均低于对照组,差异有统计学意义(P<0。05);治疗后,观察组的神经损伤功能评分低于对照组,差异有统计学意义(P<0。05)。结论 清肺化痰汤联合针灸治疗可显著改善脑卒中合并肺部感染患者的血气指标、血常规和神经损伤功能,降低机体的炎症反应,提高治疗效果。
Clinical effect of Qingfei Huatan Decoction combined with acupuncture in patients with stroke and lung infection
Objective To investigate the clinical effect of Qingfei Huatan Decoction combined with acupuncture in patients with stroke and lung in-fection.Methods From June 2021 to June 2023,100 patients with stroke complicated with lung infection admitted to a hospital were divided into the control group and the observation group according to random number table method,50 cases in each group.The control group underwent conventional western medicine treatment,and the observation group underwent Qingfei Huatan Decoction combined with acupuncture.The blood gas indexes,blood routine,inflammatory factor levels and nerve injury function scores of the two groups were compared to evaluate the clinical efficacy.Results After treatment,the total clinical effective rate in the observation group was 94.00%,and the control group was 80.00%,the total clinical effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the arterial partial pressure of oxygen,arterial carbon dioxide partial pressure and acid-base balance in the observation group were significantly better than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the proportion of neutrophils and white blood cell counts in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of IL-6,CRP and TNF-α in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the neurological injury function score of patients in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Qingfei Huatan Decoction combined with acupuncture can significantly improve blood gas indexes,blood routine and neurological injury function in patients with stroke and lung infection,reduce the body's inflammatory response,and then improve the treatment effect.

Qingfei Huatan DecoctionAcupunctureStrokeLung infection

李昱霖、张文静、谷永娟

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河南中医药大学,郑州 450000

漯河市中心医院康复科,河南漯河 462000

清肺化痰汤 针灸 脑卒中 肺部感染

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(5)
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