阳中隐阴针刺手法治疗痰湿气虚型卒中相关性肺炎的临床观察  

Clinical Observation on Acupuncture with Reinforcement before Purgation in Treating Stroke-Associated Pneumonia of Phlegm-Damp and Qi Deficiency Type

作　　者：唐子文[1] 崔颖 TANG Zi-Wen;CUI Ying(Dept.of Infectious Diseases,Zunhua People’s Hospital,Zunhua 064200 Hebei,China;Nursing and Health School of North China University of Science and Technology,Zunhua 064200 Hebei,China)

机构地区：[1]遵化市人民医院感染性疾病科,河北遵化064200 [2]华北理工大学护理与康复学院,河北遵化064200

出　　处：《广州中医药大学学报》2021年第4期734-738,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：河北省卫健委医学科学研究课题计划项目(编号:20191094)。

摘　　要：【目的】观察阳中隐阴针刺手法治疗痰湿气虚型卒中相关性肺炎的临床疗效。【方法】将60例痰湿气虚型卒中相关性肺炎患者随机分为观察组和对照组,每组各30例。对照组给予原发病治疗、抗感染治疗、营养支持及对症治疗等常规治疗,观察组在对照组治疗的基础上,采用阳中隐阴针刺手法给予针灸治疗。2组患者以治疗7 d为1个疗程,均连续治疗2个疗程。治疗14 d后,观察2组患者治疗前后简化临床肺部感染评分(CPIS)、血清降钙素原(PCT)及白细胞(WBC)水平的变化情况,并评价2组患者的临床疗效。【结果】(1)观察组失访5例,对照组失访3例。最终观察组25例、对照组27例纳入疗效统计。(2)观察组总有效率为88.0%(22/25),对照组为70.4%(19/27)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的CPIS评分明显改善(P<0.05),且观察组在改善CPIS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的血清降钙素原与白细胞水平明显改善(P<0.05),且观察组在改善血清降钙素原与白细胞水平方面明显优于对照组,差异具有统计学意义(P<0.05)。【结论】阳中隐阴针刺手法治疗痰湿气虚型卒中相关性肺炎,能进一步改善痰湿气虚型卒中相关性肺炎患者肺部的感染情况,抑制炎症反应,促进肺部炎症吸收,进一步提高脑卒中患者的生活质量,临床疗效显著。Objective To observe the clinical efficacy of acupuncture with reinforcement before purgation for the treatment of stroke associated pneumonia(SAP)of phlegm-damp and qi deficiency type.Methods Sixty patients with phlegm-damp and qi-deficiency stroke-associated pneumonia were randomly divided into observation group and control group,30 cases in each group.The patients of both groups received conventional treatment including primary disease treatment,anti-infection,nutritional support and symptomatic treatment,additionally,the observation group received acupuncture with reinforcement before purgation.Seven days constituted one treatment course,and the treatment covered 2 continuous coures.After 14-day treatment,the changes in simplified clinical pulmonary infection(CPIS)score,serum procalcitonin(PCT)and white blood cell(WBC)count in both groups were observed before and after treatment,and the clinical efficacy in both groups were evaluated.Results(1)During the trial,5 cases from the observation group were lost to follow-up,3 cases from the control group.Finally,25 cases in the observation group and 27 cases in the control group were included into statistical analysis.(2)The total effective rate was 88.0%(22/25)in the observation group,and was 70.4%(19/27)in the control group.The curative efficacy of the observation group was superior to that of the control group(P<0.05).(3)After treatment,the CPIS score in the two groups was improved(P<0.05),and the improvement in CPIS score of the observation group was superior to that of the control group(P<0.05).(4)After treatment,the serum PCT level and WBC count in the two groups were improved(P<0.05),and the improvement in serum PCT level and WBC count of the observation group was superior to that of the control group(P<0.05).Conclusion Acupuncture with reinforcement before purgation is effective for the treatment of stroke associated pneumonia of phlegm-damp and qi deficiency type,has effects on further improving lung infection in the patients,inhibiting inflammatory reactio

关 键 词：卒中相关性肺炎 阳中隐阴针刺手法 痰湿气虚 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]