| 引用本文:李得民1 疏欣杨1 杨道文1 张纾难1 刘金民2.中西医结合治疗脑卒中后遗症患者社区获得性肺炎临床研究[J].世界中医药,2014,9(05):. |
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| 中西医结合治疗脑卒中后遗症患者社区获得性肺炎临床研究 |
| Clinical Study on Integrated Traditional Chinese and Western Medicine to Treat Patients with Stroke Sequela of Community Acquired Pneumonia |
| 投稿时间：2014-03-11 |
| DOI：10.3969/j.issn.1673-7202.2014.05.011 |
| 中文关键词: 脑卒中后遗症 社区获得性肺炎 中西医结合治疗 |
| English Keywords:Stroke sequel Community acquired pneumonia Integrated traditional Chinese and Western medicine |
| 基金项目:首都特色技术发展研究项目(编号：Z090507017709025);北京中医药大学科研创新团队(编号：2011-CXTD-23) |
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| 中文摘要: |
| 目的：观察中西医结合治疗脑卒中后遗症患者社区获得性肺炎的临床疗效。方法：将67例痰热腑实型脑卒中后遗症患者社区获得性肺炎随机分为试验组和对照组，对照组33例给予常规西医治疗，试验组34例在对照组基础上采用(振动排痰机—肠内营养—中医辨证)三联合治疗，对比观察两组疗效及不良反应。结果：试验组总有效率为94.12%，对照组总有效率为75.76%，两组治疗后炎性反应指标比较疗效相当(P>0.05)，但试验组在临床总疗效、中医证候积分方面，都明显优于对照组(P<0.05)，中医单项症状疗效比较，试验组能够明显改善患者的咳嗽、咳痰(痰色、痰量)，腹胀便秘、口干咽燥。结论：在抗感染的同时，中西医(振动排痰机—肠内营养—中医辨证)三联合治疗，可以提高对脑卒中后遗症患者社区获得性肺炎的疗效，值得进一步研究推广。 |
| English Summary: |
| To observe the clinical efficacy of integrated traditional Chinese and Western medicine treating patients with stroke sequela of community acquired pneumonia.Methods： Sixty seven patients with stroke sequela of community acquired pneumonia were randomly divided into treatment group（n=34）and control group（n=33）. Patients the in control group received the basic western medicine treatment， and patients in treatment group were given the combination therapy of Vibration sputum discharge machine， enteral nutrition support and Chinese medicine syndrome differentiation except from the conventional western therapies the same as the control group， and the efficacy and adverse reactions were observed. Results：The total effective rate of treatment group was 94.12%， and that of the control group was 75.76%. The two groups demonstrated similar treatment effect on inflammation index (P>0.05)，but the treatment group showed significant better performance in terms of the the total effective rate and the impact on TCM syndrome scores (P<0.05). As for relieving TCM symptoms， the treatment group can significantly improve the patient's cough， expectoration (sputum color， sputum volume)， abdominal distension and constipation， dry mouth and throat. Conclusion：Integrated traditional Chinese and Western medicine can improve the efficacy of patients with stroke sequelae of community-acquired pneumonia， and it is worthy of further research and promotion. |
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