六君子汤加减联合俞募配穴针刺治疗对脾肺气虚型脑中风后肺部感染患者CPIS评分及感染指标的影响  

Effect of Modified Liujunzi Decoction Combined with Shu Mu Matching Acupoint Acupuncture on the CPIS Score and Infection Indicators of Patients with Pulmonary Infection after Stroke of Spleen Lung Qi Deficiency Type

作　　者：李子见 LI Zijian(Department of Rehabilitation Medicine,Shanting District People’s Hospital in Zaozhuang City,Zaozhuang 277200,China)

机构地区：[1]枣庄市山亭区人民医院康复医学科,山东枣庄277200

出　　处：《反射疗法与康复医学》2025年第7期9-12,26,共5页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨六君子汤加减联合俞募配穴针刺治疗脾肺气虚型脑中风后肺部感染患者的临床效果。方法选取2023年5月—2024年5月枣庄市山亭区人民医院收治的86例脾肺气虚型脑中风后肺部感染患者为研究对象,按随机数字表法将其分为对照组和观察组,各43例。对照组采用常规西药治疗,观察组在对照组基础上采用六君子汤加减联合俞募配穴针刺治疗,两组均持续治疗14 d。对比两组的临床疗效、中医证候积分、临床肺部感染评分(CPIS)、感染指标、血气分析指标、不良反应发生情况。结果观察组治疗总有效率为95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05)。治疗14 d后,观察组咳嗽、气短、咯痰、神疲乏力评分均低于对照组,组间差异有统计学意义(P<0.05);观察组CPIS评分及降钙素原、C反应蛋白、白细胞计数水平均低于对照组,组间差异有统计学意义(P<0.05);观察组血氧分压高于对照组,二氧化碳分压低于对照组,组间差异有统计学意义(P<0.05)。两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论六君子汤加减联合俞募配穴针刺治疗脾肺气虚型脑中风后肺部感染患者可提高疗效,降低CPIS评分,改善血气分析指标,且安全可靠。Objective Exploring the clinical effect of modified Liujunzi decoction combined with Shu Mu matching acupoint acupuncture in the treatment of patients with pulmonary infection after stroke of Spleen-Lung Qi deficiency type.Methods A total of 86 patients with pulmonary infection after stroke of Spleen-Lung Qi deficiency type admitted to Shanting District People’s Hospital in Zaozhuang City from May 2023 to May 2024 were selected as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 43 cases in each group.The control group was treated with conventional Western medicine,while the observation group was treated with modified Liujunzi decoction combined with Shu Mu matching acupoint acupuncture on the basis of the control group,both groups received continuous treatment for 14 days.Compare the clinical efficacy,traditional Chinese medicine syndrome points,Clinical Pulmonary Infection Score(CPIS),infection indicators,blood gas analysis indicators,and occurrence of adverse reactions between two groups.Results The total effective rate of the observation group was 95.35%,which was higher than 81.40%of the control group,the difference was statistically significant(P<0.05).After 14 days of treatment,the cough,shortness of breath,expectoration,and fatigue scores in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05);the CPIS,procalcitonin,C-reactive protein,and white blood cell count levels in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05);the blood oxygen partial pressure of the observation group was higher than that of the control group,and the carbon dioxide partial pressure was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).Comparison of the incidence of adverse reactions between two groups,the diffe

关 键 词：脑中风 肺部感染 脾肺气虚型 六君子汤加减 俞募配穴针刺 感染指标 

分 类 号：R743.3[医药卫生—神经病学与精神病学]