中药塌渍治疗急性前循环缺血性脑卒中合并肺部感染  

The treatment of acute anterior circulation ischemic stroke combined with lung infection by collapsing impregnation with traditional Chinese medicine

作　　者：李云霞[1] 李晓晖[1] 尚祥岭[2] 王红燕 袁鑫帅 李晨郢 LI Yunxia;LI Xiaohui;SHANG Xiangling;WANG Hongyan;YUAN Xinshuai;LI Chenying(Department of Neurology,The First Affiliated Hospital of Henan University,Kaifeng 475000,CHN;Department of Traditional Chinese Medicine,The First Affiliated Hospital of Henan University,Kaifeng 475000,CHN;Department of Respiratory Medicine,The First Affiliated Hospital of Henan University,Kaifeng 475000,CHN)

机构地区：[1]河南大学第一附属医院神经内科,河南开封475000 [2]河南大学第一附属医院中医科,河南开封475000 [3]河南大学第一附属医院呼吸内科,河南开封475000

出　　处：《河南大学学报（医学版）》2024年第1期65-67,71,共4页Journal of Henan University:Medical Science

基　　金：开封市科技发展计划项目(2203040)。

摘　　要：目的:探讨中药塌渍疗法治疗急性前循环缺血性脑卒中患者肺部感染的临床疗效。方法:选取2022年5月至2023年5月该院收治的93例前循环缺血性脑卒中患者进行前瞻性研究,排除院前肺部感染,按随机数字表法将其分成对照组和研究组。对照组采用常规的临床治疗方法,研究组则在对照组的基础上加用中药塌渍疗法进行治疗,经治疗后比较两组肺部感染评分表、不良反应发生率、神经功能缺陷评分表。结果:研究组患者治疗后肺部感染评分量表评分低于对照组患者,差异有统计学意义(P<0.05);研究组与对照组不良反应发生率差异无统计学意义(P>0.05);研究组与对照组神经功能缺损评分差异无统计学意义(P>0.05)。结论:中药塌渍治疗能有效缓解患者的急性前循环缺血性脑卒中合并肺部感染及相应的临床症状,促进患者病情康复,改善患者生活质量,值得在临床探索应用。Objective: To investigate the clinical efficacy of herbal collapsing therapy in treating lung infection in patients with acute anterior circulation ischemic stroke. Methods: Ninety-three stroke patients admitted to the hospital from May 2022 to May 2023 were selected for prospective study, excluded from prehospital pulmonary infection, and divided into the control group and the study group according to the method of randomized numerical table. The control group was treated with conventional clinical treatments, while the study group was treated with traditional Chinese medicine collapsing therapy on the basis of the control group, and the two groups were compared with each other after treatment in terms of pulmonary infection scorecard, incidence of adverse reactions, and neurological deficits scorecard. Results: After treatment, the patients in the study group scored lower than the patients in the control group on the pulmonary infection rating scale, and the difference was statistically significant(P < 0.05);the incidence rate of adverse reactions in the study group was higher than that of the control group, and the difference was not statistically significant(P > 0.05);and the neurological function deficit rating scale in the study group was higher than that of the control group, and the difference was not statistically significant(P > 0.05). Conclusion: Chinese medicine collapsing treatment can effectively relieve patients' acute ischemic stroke combined with lung infection and corresponding clinical symptoms, promote patients' recovery and improve patients' quality of life, and is worth exploring and applying in the clinic.

关 键 词：中药塌渍疗法 急性前循环缺血性脑卒中 肺部感染 

分 类 号：R473[医药卫生—护理学]