针刺对肺部感染患者临床症状及炎性指标的影响  

Effects of acupuncture on the clinical symptoms and inflammatory indicators in patients with pulmonary infection

作　　者：毛韶华 孙培养[1] 鹿林[1] 尹婷婷[1] 张润[1] 毕继蕊 倪兴[1] 何娟 MAO Shaohua;SUN Peiyang;LU Lin;YIN Tingting;ZHANG Run;BI Jirui;NI Xing;HE Juan(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,合肥230061

出　　处：《吉林中医药》2024年第7期856-859,共4页Jilin Journal of Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)。

摘　　要：目的 观察健脾益肺化痰组穴针刺疗法对肺部感染患者中医证候积分、MLR、NLR、CRP及D-二聚体水平的影响。方法 采用随机数字表法将60例肺部感染患者分为2组,对照组30例采用常规西医治疗,观察组30例另予健脾益肺化痰组穴针刺疗法。2组均治疗7 d。比较2组治疗前后中医证候积分、MLR、NLR、CRP及D-二聚体水平的变化。结果 治疗后,2组中医证候积分、MLR、NLR及CRP的水平均低于治疗前(P<0.05),且观察组治疗后低于对照组(P<0.05);2组D-二聚体治疗后均低于治疗前,但治疗后组间相比差异无统计学意义(P>0.05)。结论 健脾益肺化痰组穴针刺疗法治疗肺部感染,可减轻患者临床症状,降低炎症反应,提高治愈率,改善预后,提高临床治疗效果。Objective To observe the effects of acupuncture treatment at points for invigorating spleen,benefiting lung,and dissipating phlegm on the TCM syndrome scores,the levels of MLR,NLR,CRP,and D-dimer in patients with pulmonary infection.Methods A total of 60 patients with pulmonary infection were divided into two groups using the random number table method.The control group(n=30) received a conventional western medicine treatment,while the observation group(n=30) received an acupuncture treatment at acupoints for invigorating spleen,benefiting lung,and dissipating phlegm,both for 7 days.The changes in the TCM syndrome scores,the levels of MLR,NLR,CRP,and D-dimer before and after treatment were compared between the two groups.Results After treatment,the TCM syndrome scores and the levels of MLR,NLR,and CRP were lower in both groups than before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).After treatment,the levels of D-dimer were lower in both groups than before treatment,yet there was no statistically significant difference between the two groups(P>0.05).Conclusion In the treatment of patients with pulmonary infection,the acupuncture therapy at points for invigorating spleen,benefiting lung,and dissipating phlegm can alleviate clinical symptoms,reduce inflammatory reactions,increase cure rate,improve prognosis,and enhance clinical efficacy.

关 键 词：肺部感染 针刺 肺部症状 炎症反应 

分 类 号：R245.32[医药卫生—针灸推拿学]