井穴放血疗法预防卒中相关性肺炎的临床研究  

Jing Point bloodletting therapy in the prevention of stroke-associated pneumonia

作　　者：王乐红[1] 杨群[1] 张琳 周扣香 顾玉华[1] 李辉[1] WANG Le-hong;YANG Qun;ZHANG Lin;ZHOU Kou-xiang;GU Yu-hua;LI Hui(Department of Neurology,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing,Jiangsu 210000,China)

机构地区：[1]江苏省中医院神经内科,江苏南京210000

出　　处：《中国临床研究》2021年第8期1088-1091,共4页Chinese Journal of Clinical Research

摘　　要：目的探讨井穴放血疗法预防卒中相关性肺炎(SAP)的临床疗效,及SAP发生的相关影响因素。方法回顾性分析2020年1月至11月江苏省中医院神经内科收治的急性缺血性卒中患者70例的临床资料,其中采用常规治疗方案者35例,采用常规治疗方案联合井穴放血疗法者35例,对治疗7 d时患者SAP发病情况进行比较,并分析影响SAP发病的相关因素。结果 70例脑卒中患者中发生SAP共48例。采用井穴放血疗法者SAP发生率为57.1%(20/35),未采用井穴放血疗法者SAP发生率为80.0%(28/35),差异有统计学意义(χ^(2)=4.242,P=0.039)。多因素二元Logistic回归分析显示,井穴放血疗法、吸烟史、洼田饮水分级为发生SAP的独立影响因素(P<0.05)。结论井穴放血疗法可预防SAP,有吸烟史、洼田饮水分级3~5级是SAP发生的独立危险因素。Objective To explore the effect of Jing Point bloodletting therapy in the prevention of stroke-associated pneumonia(SAP),and to analyze related factors affecting the occurrence of SAP.Methods Clinical data of 70 patients with acute ischemic stroke admitted to the Department of Neurology of Jiangsu Provincial Hospital of Traditional Chinese Medicine from January to November 2020 was retrospective analyzed.Among them, 35 patients were treated with conventional treatment plan, and 35 patients were treated with conventional treatment combined with Jing Point Bloodletting therapy.The incidence of SAP on the 7 th day of treatment was compared, and the related factors of the incidence of SAP were analyzed.Results There were 48 cases of SAP in 70 stroke patients.The incidence of SAP was 57.1%(20/35) in patients who used Jing point bloodletting therapy, and 80.0%(28/35) of those who did not use Jing point bloodletting therapy, the difference was statistically significant(χ^(2)=4.242,P=0.039).Multivariate binary logistic regression analysis showed that Jing point bloodletting therapy, smoking history, and Watian drinking water classification were independent factors influencing the occurrence of SAP(P<0.05).Conclusion Bloodletting therapy at Jing points can prevent SAP.A history of smoking and Watian drinking water grades 3 to 5 are independent risk factors for the occurrence of SAP.

关 键 词：井穴 放血疗法 卒中相关性肺炎 缺血性卒中 

分 类 号：R743[医药卫生—神经病学与精神病学] R563.1[医药卫生—临床医学]