揿针联合常规医护措施治疗社区获得性肺炎临床研究  

Clinical Study on Thumbtack Needle Combined with Routine Nursing Measures for Community-Acquired Pneumonia

作　　者：王小莉 WANG Xiaoli

机构地区：[1]义乌市中医医院内三科,浙江义乌322000

出　　处：《新中医》2020年第12期177-180,共4页New Chinese Medicine

摘　　要：目的:观察揿针联合常规医护措施治疗社区获得性肺炎(CAP)的临床疗效。方法:将80例CAP患者按随机数字表法分为对照组和观察组各40例。2组均予注射用头孢他定或注射用阿莫西林克拉维酸钾和盐酸氨溴索注射液等药物常规抗感染和促排痰,观察组加用揿针刺激肺俞、定喘、天突穴。2组疗程均为10 d。治疗前后评定2组患者的主要症状、体征评分,临床肺部感染评分(CPIS)和肺炎严重指数(PSI)评分,出院当天由患者自行评价护理满意度。比较2组的临床疗效。结果:治疗后,观察组疗效优于对照组(P<0.05)。2组主要症状、体征评分和CPIS、PSI评分均较治疗前下降(P<0.01),观察组3项评分值均低于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在现代医学常规医护措施基础上加用揿针治疗CAP患者,可进一步减轻咳嗽、咯痰、气短等症状,减轻病情程度,有效缩短病程,提高临床疗效。Objective: To observe the clinical effect of thumbtack needle combined with routine nursing measures for community-acquired pneumonia(CAP). Methods:A total of 80 cases of CAP patients were divided into the control group and the observation group according to the random number table method,40 cases in each group. Both groups were given the injection of ceftazidime,or of medication for routine anti-infection and promoting sputum excretion,such as amoxicillin and clavulanate potassium, and ambroxol hydrochloride;the observation group was additionally given thumbtack needle to stimulate Feiyu point(BL13), Dingchuan point(EX-B1) and Tiantu point(CV22). Both groups were treated for ten days. The scores of main symptoms and signs,clinical pulmonary infection scores(CPIS) and scores of pneumonia severity index(PSI)before and after treatment in the two groups were evaluated. On the day of discharge,nursing satisfaction was evaluated by patients. The clinical effect was compared between the two groups. Results: After treatment, the curative effect in the observation group was better than that in the control group(P<0.05). In the two groups,the scores of main symptoms and signs, CPIS and PSI were decreased when compared with those before treatment(P<0.01);the three scores in the observation group were lower than those in the control group(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:Based on nursing measures of modern medicine,the additional application of thumbtack needle in treating CAP patients,can further alleviate symptoms such as cough,expectoration and shortness of breath, reduce the degree of condition, effectively shorten the course of disease, as well as improve the clinical effect.

关 键 词：社区获得性肺炎 中西医结合疗法 揿针 临床肺部感染评分 肺炎严重指数 护理满意度 

分 类 号：R563.1[医药卫生—呼吸系统]