清肺定喘泻热法联合中医特色干预对呼吸机重症肺炎患者疗效及预后研究  

Clinical Efficacy and Prognosis of Qingfei Dingchuan Xiere Method Combined with Traditional Chinese Medicine Nursing for Patients with Ventilator-associated Pneumonia

作　　者：李艳丽[1] 梁立平[1] 张智荣[1] 游丽 LI Yanli;LIANG Liping;ZHANG Zhirong(The First Affiliated Hospital of Chengdu Medical College (Chengdu Sichuan 610500,China))

机构地区：[1]成都医学院第一附属医院

出　　处：《四川中医》2018年第12期215-218,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省卫生厅基金资助项目(编号:110334)

摘　　要：目的:观察清肺定喘泻热法联合中医特色干预对呼吸机重症肺炎患者的临床疗效及预后的影响。方法:选取2017年1月至2017年12月间在我院接受治疗的呼吸机重症肺炎患者118例,将其随机分成两组,各59例。观察组给予常规治疗结合清肺定喘泻热法联合中医特色干预,对照组给予常规治疗联合中医特色干预;观察比较两组患者治疗后肺功能改善情况和中医证候评分。结果:(1)干预后,观察组体征、症状、舌象以及脉象评分均好于对照组[(0. 74±0. 35)/(1. 05±0. 47),(0. 75±0. 44)/(1. 17±0. 33),(0. 83±0. 41)/(1. 22±0. 44),(0. 83±0. 42)/(1. 13±0. 36)]分,差异有统计学意义,P<0. 05;(2)干预后,观察组并发症发生率低于对照组(16. 95%/30. 51%),治疗有效率高于对照组(93. 22%/77. 97%),呼吸机应用时间及住院天数均少于对照组[(10. 22±3. 25)/(15. 41±2. 07),(11. 37±3. 91)/(20. 11±3. 26)]天,差异有统计学意义,P<0. 05;(3)干预后,观察组病患FEV1、FEV1/FVC、MVV水平高于对照组[(2. 39±0. 06)/(2. 20±0. 06),(61. 34±4. 50)/(54. 72±4. 33),(69. 90±4. 62)/(57. 87±4. 51)],差异有统计学意义,P<0. 05。结论:清肺定喘泻热法联合中医特色干预治疗呼吸机重症肺炎,可降低中医症候评分、机械通气时间、住院天数,改善患者肺功能,值得推广和应用。Objective: To observe the effect of Qingfei Dingchuan Xiere Method combined with traditional Chinese medicine nursing on clinical efficacy and prognosis in patients with ventilator-associated pneumonia. Methods: A total of 102 ventilator-associated pneumonia patients were enrolled in our hospital from January 2017 to December 2017 were randomly divided into two groups: the observation group of 51 cases were received conventional treatment combined with Qingfei Dingchuan Xiere Method and traditional Chinese medicine nursing,the controlled group of 51 cases were received conventional treatment and traditional Chinese medicine nursing,compared the two groups with the improvement of lung function and TCM syndrome score after treatment. Results:( 1) After the intervention,the scores of signs,symptoms,tongue and pulse were better in the observation group than the controlled group,the difference was statistically significant,P < 0. 05;( 2) After the intervention,the rate of complications was lower in observation group than in the controlled group [( 0. 74±0. 35)/( 1. 05±0. 47),( 0. 75±0. 44)/( 1.17±0. 33),( 0. 83±0. 41)/( 1. 22± 0. 44),( 0. 83± 0. 42)/( 1. 13± 0. 36) ],the effective rate of the observation group was higher than the controlled group( 93. 22%/77. 97%),ventilator time and hospitalization time were less than the controlled group( 16. 95%/30. 51%),the difference was statistically significant,P < 0. 05;( 3) After the intervention,the levels of FEV1,FEV1/FVC,MVV of the observation group were higher than the controlled group [( 2. 39± 0. 06)/( 2. 20± 0.06),( 61. 34± 4. 50)/( 54. 72± 4. 33),( 69. 90± 4. 62)/( 57. 87± 4. 51) ],the difference was statistically significant,P < 0. 05. Conclusion: Qingfei Dingchuan Xiere Method combined with traditional Chinese medicine nursing can reduce the TCM syndrome scores,mechanical ventilation time,the number of days in hospital,improve the lung function,it is worthy of promotion and application.

关 键 词：清肺定喘泻热法 中医特色干预 呼吸机重症肺炎 肺功能 

分 类 号：R248.2[医药卫生—中医临床基础]