针刺结合加味清热化痰汤治疗急性呼吸衰竭患者的效果  

Effect of Acupuncture Combined with Modified Qingre Huatan Decoction in Patients with Acute Respiratory Failure

作　　者：李泽恩 王斌 陈增健 林鸿侨 林双春 LI Ze’en;WANG Bin;CHEN Zengjian;LIN Hongqiao;LIN Shuangchun(Anhai Hospital of Jinjiang City,Jinjiang 362261,China;不详)

机构地区：[1]晋江市安海医院,福建晋江362261

出　　处：《中外医学研究》2025年第7期49-53,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析针刺结合加味清热化痰汤治疗急性呼吸衰竭(ARF)患者的效果。方法:回顾性分析2022年4月—2024年2月晋江市安海医院收治的87例ARF患者临床资料,根据不同治疗方式将其分为两组,参照组(n=42)实施常规西医药物治疗,观察组(n=45)在上述基础上实施针刺结合加味清热化痰汤治疗,采用急性生理与慢性健康评分量表(APACHE-Ⅱ)对患者恢复状况进行评估,并分析两组动脉血氧分压(PaO_(2))、心率(HR)、动脉血二氧化碳分压(PaCO_(2))、红细胞沉降率(ESR)、C反应蛋白(CRP)、降钙素原(PCT)及中医症候积分。结果:治疗前,两组HR、PaO_(2)及PaCO_(2)水平对比,差异无统计学意义(P>0.05),治疗后观察组HR、PaCO_(2)水平低于参照组,PaO_(2)水平高于参照组,差异有统计学意义(P<0.05)。治疗前,两组炎症因子水平比较,差异无统计学意义(P>0.05);治疗后观察组ESR、CRP、PCT指标明显低于参照组,差异有统计学意义(P<0.05)。治疗前,两组APACHE-Ⅱ评分比较,差异无统计学意义(P>0.05);治疗后观察组APACHE-Ⅱ评分明显低于参照组,差异有统计学意义(P<0.05)。两组治疗前中医症候积分比较,差异无统计学意义(P>0.05);治疗后观察组各积分明显低于参照组,差异有统计学意义(P<0.05)。结论:ARF患者采用针刺结合加味清热化痰汤治疗效果显著,既能改善呼吸频率、血气指标,还有效缓解临床症状,减少炎症介质释放。Objective:To analyze the effect of acupuncture combined with modified Qingre Huatan Decoction on patients with acute respiratory failure(ARF).Method:The clinical data of 87 ARF patients admitted to Anhai Hospital of Jinjiang City from April 2022 to February 2024 were retrospectively analyzed,and they were divided into two groups according to different treatment methods.The reference group(n=42)was treated with conventional western medicine,and the observation group(n=45)was treated with acupuncture combined with modified Qingre Huatan Decoction on the basis of the above,and the recovery status of the patients was assessed by the acute physiological and chronic health score scale(APACHE-Ⅱ).Arterial partial pressure of oxygen(PaO_(2)),heart rate(HR),arterial partial pressure of carbon dioxide(PaCO_(2)),erythrocyte sedimentation rate(ESR),C-reactive protein(CRP),procalcitonin(PCT)and traditional Chinese medicine symptom score of the two groups were analyzed.Result:Before treatment,there were no statistical significances in HR,PaO_(2) and PaCO_(2) levels between the two groups(P>0.05).After treatment,HR and PaCO_(2) levels in the observation group were lower than those in the reference group,while PaO_(2) levels were higher than those in the reference group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in the levels of inflammatory factors between the two groups(P>0.05).After treatment,ESR,CRP and PCT indexes in observation group were significantly lower than those in reference group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in APACHE-Ⅱscores between the two groups(P>0.05).After treatment,the APACHE-Ⅱscore of observation group was significantly lower than that of reference group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of traditional Chinese medicine symptoms between the two groups before treatment(P>0.05).After tr

关 键 词：针刺 清热化痰汤 急性呼吸衰竭 呼吸指标 

分 类 号：R24[医药卫生—中医临床基础]