首页|清肺化痰汤联合基于人文关怀的中医护理对痰热壅肺型重症肺炎患者通气功能的改善作用

清肺化痰汤联合基于人文关怀的中医护理对痰热壅肺型重症肺炎患者通气功能的改善作用

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目的 探讨痰热壅肺型重症肺炎(SP)患者接受清肺化痰汤联合基于人文关怀的中医护理对肺活量(VC)、用力肺活量(FVC)、最大自主分钟通气量(MVV)等通气功能指标的影响。方法 选择2020年2月—2023年2月在甘肃省中医院呼吸与危重症医学病房收治的66例痰热壅肺型SP患者为研究对象,用随机数字表法将其分为对照组和观察组,每组各33例。参与研究的所有患者接受常规基础治疗,对照组采用广谱抗菌药治疗联合人文关怀的中医护理,观察组则在对照组的基础上对患者额外联用清肺化痰汤,两组患者均持续用药14d。比较两组患者各项观察指标。结果 两组患者治疗后的VC、FVC、MVV、动脉血氧饱和度(SaO2)、动脉血氧分压(PaO2)水平均有升高,且观察组治疗后的临床总有效率超过了对照组,差异有统计学意义(P<0。05)。结论 清肺化痰汤联合基于人文关怀的中医护理能有效改善痰热壅肺型SP患者的通气功能,促进患者肺功能恢复。
Improvement Effect of Lung and Eliminating Phlegm Decoction Combined with Traditional Chinese Medicine Nursing Based on Humanistic Care on Ventilation Function of Patients with Severe Pneumonia of Phlegm Heat Obstruction Type
Objective To explore effect of lung and eliminating phlegm decoction combined with humanistic care based on traditional Chinese medicine nursing on ventilation function indicators including vital capacity(VC),forced vital capacity(FVC),and maximum spontaneous minute ventilation(MVV)of patients with severe pneumonia(SP)caused by phlegm heat obstruction.Methods The paper chose 66 patients with phlegm heat obstructing lung type SP admitted to Respiratory and Critical Care Medical Ward of Gansu Provincial Hospital of Traditional Chinese Medicine from February 2020 to February 2023 as study subjects,and divided them into two groups(33 each)with random number table method.All patients were treated with routine basic treatment,control group was treated with broad-spectrum antibacterial treatment combined with traditional Chinese medicine nursing for humanistic care,observation group with combined lung and eliminating phlegm decoction on the basis of control group.Medication continued for 14 days for two groups.Various observation indicators were compared between two groups.Results After 14 days of treatment,clinical total effective rate of observation group was higher than control group.After treatment,levels of VC,FVC,MVV,arterial oxygen saturation(SaO2),and arterial oxygen partial pressure(PaO2)in both groups increased,those of observation group were higher than control group.Conclusion Combination of lung and eliminating phlegm decoction and traditional Chinese medicine nursing based on humanistic care can effectively improve ventilation function of patients with phlegm heat obstruction lung type SP and promote recovery of lung function.

Severe pneumonia with phlegm heat obstruction lungsclearing Lung and eliminating phlegm decoctionHumanistic careTraditional Chinese medicine nursingVentilation function

周瑞霞、高芳艳、曹宏丽

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甘肃省中医院 呼吸与危重症医学病房,甘肃 兰州 730050

甘肃省中医院 手外科,甘肃 兰州 730050

甘肃省中医院 血液科,甘肃 兰州 730050

痰热壅肺型重症肺炎 清肺化痰汤 人文关怀 中医护理 通气功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(16)