摘要
目的 讨论及研究改良式体位排痰与艾灸的中西医结合新方法治疗脑卒中患者出现坠积性肺炎的效果。方法 本次研究的时间范围2019年7月-2022年6月，患者的数量为120例，依据数字表法分成对照组和治疗组，每组60例患者，对照组：常规护理；治疗组：体位排痰与艾灸的中西医结合方法，治疗时间为两周，分析两组患者治疗前后症状改善情况，评价综合疗效，明确患者的精神状态。结果 治疗组患者临床症状改善更佳，综合疗效显佳，精神状态明显得到改善，p<0.05。结论 脑卒中患者坠积性肺炎提供体位排痰与艾灸的中西医结合新方法治疗，可以改善患者临床症状，改善患者的精神状态，促进患者恢复，值得提倡。
关键词： 体位排痰；艾灸；中西医结合；脑卒中；坠积性肺炎
Abstract
Objective To discuss and study the effect of improved postural expectoration combined with moxibustion on hypostatic pneumonia in stroke patients. Methods The time range of this study was 2019.7-2022.6, and the number of patients was 120, which were divided into control group and treatment group according to digital table method, with 60 patients in each group. Treatment group: postural expectoration and moxibustion were combined with traditional Chinese and Western medicine. The treatment time was two weeks. The improvement of symptoms before and after treatment of the two groups of patients was analyzed, the comprehensive curative effect was evaluated, and the mental state of the patients was clarified. Results In the treatment group, the clinical symptoms improved better, the comprehensive curative effect was better, and the mental state was significantly improved, p<0.05. Conclusion The new treatment method of postural sputum drainage and moxibustion in stroke patients with hypostatic pneumonia can improve the clinical symptoms, improve the mental state of patients, and promote the recovery of patients, which is worth advocating.
Key words： Postural expectoration; Moxibustion; Integration of traditional Chinese and Western medicine; Stroke; Hypostatic pneumonia
参考文献 References
[1] 黎建明,陈伟荣,羊妹琴.康复排痰技术联合补中益气汤加半夏厚朴汤治疗脑卒中患者坠积性肺炎疗效观察[J].四川中医, 2020, 38(1):3.
[2] 蓝佼晖,廖明珍,陈在娟,等.呼吸训练联合电动站立床对脑卒中气管切开患者体位排痰及呼吸功能的研究新进展[J].中文科技期刊数据库(文摘版)医药卫生, 2022(4):3.
[3] 刘晓晓.基于医护联合程序化的体位排痰方案应用于人工气道肺结核患者的效果[J].中国民间疗法, 2022(030-013).
[4] 丁玲玲,方秀萍,崔圣玮,等.艾灸联合振动排痰机对预防老年脑卒中患者肺部感染的临床研究[J].医药界, 2021, 000(006):P.1-2.
[5] 张慧.脑卒中相关性肺炎患者应用呼吸肌训练联合体外振动排痰对其呼吸功能的影响分析[J].中文科技期刊数据库(引文版)医药卫生, 2021(4):2.
[6] 杨海霞,郭红梅.中医艾灸联合康复训练对脑卒中偏瘫患者的治疗价值评估[J].中文科技期刊数据库(全文版)医药卫生, 2021(7):1.
[7] 赖化莲.中药氧化雾化吸入联合超短波治疗老年卧床坠积性肺炎的临床疗效观察[J].首都食品与医药, 2023, 30(21):158-160.
[8] 袁洋.振动排痰机在脑出血患者并发坠积性肺炎后的应用[J].中国医疗器械信息, 2020, 26(22):2.
[9] Chao W ,Yijie Z ,Li Y , et al.Effect of Capsaicin Atomization-Induced Cough on Sputum Excretion in Tracheotomized Patients After Hemorrhagic Stroke: A Randomized Controlled Trial.[J]. Journal of speech, language, and hearing research : JSLHR,2021,64(11):11-11.