中西医结合治疗胸外科术后合并呼吸窘迫综合征临床疗效观察  

Curative Observation of Utilizing Integrative Medicine in Postoperative Patients of Thoracic Surgery with Respiratory Distress Syndrome

作　　者：吴雪花[1] 王昌锋[1] 

机构地区：[1]黄冈市中心医院重症医学科,湖北黄冈438000

出　　处：《四川中医》2015年第12期111-113,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的：观察用中西医结合治疗胸外科术后合并呼吸窘迫综合征的临床效果。方法：选取2013年1月~2014年12月在我院进行的胸外科手术后合并呼吸窘迫综合征的患者74例,随机分为对照组（n=37）和治疗组（n=37）,对照组患者给予营养支持、呼吸支持、抗休克、抗感染等常规的治疗,而治疗组在对照组常规治疗的基础上给予中药治疗,即采用中西医结合的方法进行治疗。观察两组的治疗效果。结果：治疗组治疗后用呼吸机的时间明显缩短,Pa CO2、Pa O2明显增加,和对照组比较,P〈0.05;治疗组治疗总有效率为94.5%,对照组治疗的总有效率为70.3%,治疗组效果明显高于对照组,P〈0.05。结论：中西医结合对胸外科术后合并呼吸窘迫综合征患者治疗效果较好,建议推广使用。Objective： To observe the clinical effect of utilizing integrative medicine in postoperative patients of thoracic surgery with respiratory distress syndrome. Methods： 74 patients in January 2013 to December 2014 in our hospital of thoracic surgery after operation with respiratory distress syndrome patients,were randomly divided into controlled group（ n = 37） and treatment group（ n = 37）,the controlled group were treated with nutritional support,respiratory support,anti shock,anti infection and other conventional treatment,while the treatment group received Chinese medicine treatment on the basis of the controlled group,namely using the method of combining traditional Chinese and western medicine treatment. To observe the therapeutic effect of two groups. Results： After treatment with ventilator time shortened,Pa CO2,Pa O2 were significantly increased,compared with the controlled group,the total effective rate of the treatment group was 94. 5%,the total effective rate of the controlled group of treatment was 70. 3%,the effect of the treatment group was significantly higher than the controlled group,P 〈0. 05. Conclusion： It＇s effective of applying integrative medicine in the treatment of thoracic surgery after surgery with respiratory distress syndrome patients,it is worth recommending.

关 键 词：中西医结合 胸外科术后 合并呼吸窘迫综合征 效果观察 

分 类 号：R563.8[医药卫生—呼吸系统]