清肺散穴位敷贴配合清热通腑灌肠法辅治老年重症肺炎的临床研究  

Clinical Study on Acupoint Application of Qingfeisan Combined with Clearing Heat and Clearing the Fu-organs and Enema in the Treatment of Severe Pneumonia in the Elderly

作　　者：李祥[1] LI Xiang(Department of Emergency Medicine,Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南中医药大学第三附属医院急诊内科,河南郑州450000

出　　处：《罕少疾病杂志》2022年第8期50-52,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨清肺散穴位敷贴配合清热通腑灌肠法辅治老年重症肺炎的临床效果。方法选定本院于2018年3月至2021年3月期间收诊的94例老年重症肺炎患者,分层随机法分为试验组(47例,常规西医疗法+清肺散穴位敷贴配合清热通腑灌肠法)与对照组(47例,常规西医疗法)2组。评测两组的每分钟最大通气量(MVV)、用力肺活量(FVC),分析两组的晚期糖基化终产物受体(RAGE)、可溶性细胞间黏附分子-1(sICAM-1),比较其肺炎严重评分(PSI)、临床肺部感染评分(CPIS),统计其并发症情况。结果⑴试验组治疗后的MVV、FVC水平均较对照组高,差异有统计学意义(P<0.05)。⑵试验组治疗后的RAGE、sICAM-1水平均较对照组低,差异有统计学意义(P<0.05)。⑶试验组治疗后的PSI、CPIS评分均较对照组低,差异有统计学意义(P<0.05)。⑷试验组治疗后腹胀发生率、二重感染发生率均较对照组低,差异有统计学意义(P<0.05)。结论清肺散穴位敷贴配合清热通腑灌肠法有助于改善老年重症肺炎患者的肺功能及相关症状,减轻其炎症反应,并能够保证患者的治疗安全性。Objective To explore the clinical effect of Qingfeisan acupoint application combined with clearing heat and clearing the fu-organs enema in the treatment of severe pneumonia in the elderly.Methods A total of 94 elderly patients with severe pneumonia admitted in our hospital from March 2018 to March 2021 were selected and divided into experimental groups(47 cases,conventional western medicine+Qingfei San acupoint application combined with Qingretong)by stratified and randomized methods Enema method)and control group(47 cases,conventional western medicine method)2 groups.Evaluate the maximal voluntary ventilation(MVV)and forced vital capacity(FVC)of the two groups,analyze the receptor for advanced glycation end products(RAGE),Soluble intercellular adhesion molecule-1(sICAM-1),compare its pneumonia severity index(PSI),clinical pulmonary infection score(CPIS),and count its complications Condition.Results(1)The MVV and FVC levels of the experimental group after treatment were higher than those of the control group,and the difference was statistically significant(P<0.05).(2)The levels of RAGE and sICAM-1 in the experimental group after treatment were lower than those in the control group,and the difference was statistically significant(P<0.05).(3)The PSI and CPIS scores of the experimental group after treatment were lower than those of the control group,and the difference was statistically significant(P<0.05).(4)The incidence of abdominal distension and the incidence of secondary infection in the experimental group after treatment were lower than those of the control group,and the difference was statistically significant.Significance(P<0.05).Conclusion The acupoint application of Qingfeisan combined with the method of clearing heat and clearing the fu-organs and enema can help improve the lung function and related symptoms of elderly patients with severe pneumonia,reduce their inflammatory response,and ensure the safety of treatment for patients.

关 键 词：老年重症肺炎 清热通腑灌肠法 清肺散穴位敷贴 炎症反应 

分 类 号：R563.1[医药卫生—呼吸系统]