研究动态
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对于与呼吸机相关的疾病治疗,传统中医和西医的临床研究进行了调查。

Investigation of the Clinical Studies of Traditional Chinese Medicine and Western Medicine in the Treatment of Disorders Related to Ventilators.

发表日期:2023 Aug 11
作者: ChunYan Wu, Dongmei Li, Zhu Zeng, Youjian Yang, Yunling Huang, Xiaoyan Yao
来源: MEDICINE & SCIENCE IN SPORTS & EXERCISE

摘要:

为了观察中医综合治疗对于呼吸机相关疾病的治疗效果。从2021年1月至2022年8月,共选择了80例呼吸机相关性肺炎患者,并根据随机数字表将其分为实验组和匹配对照组,每组40例。对照组接受传统的西医护理,所有患者均静脉给予替吉奥环素治疗。实验组患者以中西医结合治疗,所有患者均静脉滴注替吉奥环素并口服清肺化痰汤。比较了两组的治疗效果,即降钙素原(PCT)、肿瘤坏死因子(TNF-α)、高敏C-反应蛋白(hs-CRP)、血氧饱和度(PaO2)和白细胞计数(WBC)。记录急性生理和持续健康评分、临床肺部感染评分、机械通气时间、体温恢复时间和住院时间等指标。实验组的有效治愈率为37/40(92.50%),对照组为30/40(75.00%)。实验组取得了较大的优势(P < .05)。两组的PCT、TNF-α和hs-CRP水平较低,并且随治疗降低(P < .05)。实验组的白细胞和PaO2水平较低。APACHE II和CPIS评分降低(P < .05)。术后体温恢复时间、机械通气时间和住院时间均缩短(P < .05)。中西医结合对呼吸机相关疾病具有积极的临床影响。
To observe the comprehensive treatment effect of Traditional Chinese Medicine on ventilator-related diseases.From January 2021 to August 2022, a total of 80 patients with ventilator-associated pneumonia were selected and divided into a test group and a matched control group based on the random number table, with 40 cases in each group. The control group received traditional Western medical care, and all patients were given tigecycline intravenously. The patients in the test group were treated with integrated traditional Chinese and Western medicine, and all patients were given tigecycline for injection by intravenous drip combined with Qingfei Huatan decoction orally. The two groups' therapeutic outcomes were contrasted, namely: procalcitonin (PCT), tumor necrosis factor (TNF)-α, hypersensitive C-reactive protein (CRP), blood oxygen saturation (PaO2), and white blood cell (WBC) count. Acute physiology and persistent health scores, clinical lung infection score, mechanical ventilation time, body temperature recovery time, and hospitalization time were recorded.The effective Of cure in the test group was 37/40 (92.50%) and in the control group it was 30/40 (75.00%). The test group outperformed the control group by a considerable margin (P < .05). The levels of PCT, TNF-α, and hs-CRP were lower in the two groups, and the levels of TNF-α, PCT, and hs-CRP reduced with treatment (P < .05). The white blood cell and PaO2 levels were lower in the experimental group. APACHE II and CPIS scores decreased (P < .05). two groups,Postoperative body temperature recovery time, mechanical ventilation time, and hospital stay were all shortened (P < .05).The combination of traditional Chinese medicine and Western medicine has a positive clinical impact on ventilator-related diseases.