星蒌承气汤治疗痰热腑实型卒中相关性肺炎临床研究  

Clinical Effects of Xinglou Chengqi Decoction on Stroke Associated Pneumonia of Phlegm Heat and Fu Excess Type

作　　者：朱文新 吴云虎[2] 李良勇[2] 裴培[2] ZHU Wenxin;WU Yunhu;LI Liangyong;PEI Pei(Anhui University of Traditional Chinese Medicine,Hefei 230038,China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《陕西中医药大学学报》2021年第3期97-101,共5页Journal of Shaanxi University of Chinese Medicine

基　　金：国家自然科学基金青年基金项目(81803903)。

摘　　要：目的观察星蒌承气汤治疗痰热腑实型卒中相关性肺炎(stroke-associated pneumonia, SAP)的临床应用价值。方法将60例痰热腑实型SAP患者随机分为两组,每组各30例。对照组予以常规基础治疗,治疗组予以常规联合中药星蒌承气汤口服或者鼻饲,疗程为2 w。比较两组患者临床疗效、神经功能评分及日常生活能力评分。结果治疗结果显示,两组治疗均有临床疗效,且治疗组总有效率高于对照组(p<0.05);治疗后两组NIHSS评分均低于治疗前,mRS评分均高于治疗前,均为治疗组改变明显,差异有统计学意义(p<0.05)。结论在常规治疗的基础上联合星蒌承气汤治疗痰热腑实型SAP患者临床疗效显著,可明显缓解患者的呼吸系统症状,改善神经功能,提高生活质量,值得临床推广。Objective To observe the clinical application value of Xinglou Chengqi Decoction in the treatment of stroke associated pneumonia(SAP) of phlegm heat Fu excess type. Methods 60 patients with SAP of phlegm heat Fu excess type were randomly divided into two groups, 30 cases in each group. The control group was given routine basic treatment, the treatment group was given routine combined with Xinglou Chengqi Decoction oral or nasal feeding, the course of treatment was 2 weeks. The clinical efficacy, neurological function score and ADL score were compared between the two groups. Results The treatment results showed that the two groups had clinical efficacy, and the total effective rate of the treatment group was higher than that of the control group(p< 0.05);after treatment, the NIHSS scores of the two groups were lower than those before treatment, and the mRS scores were higher than those before treatment, which indicated that the treatment group had obvious changes, and the difference was statistically significant(p< 0.05). Conclusion On the basis of conventional treatment combined with Xinglou Chengqi Decoction in the treatment of SAP patients with phlegm heat and Fu excess syndrome, the clinical effect is significant, which can significantly relieve the respiratory symptoms, improve the neurological function and improve the quality of life of patients, which is worthy of clinical promotion.

关 键 词：卒中相关性肺炎 痰热腑实证 星蒌承气汤 神经功能 临床研究 

分 类 号：R256.1[医药卫生—中医内科学]