阳中隐阴针刺手法治疗痰湿气虚型卒中相关性肺炎的临床观察

目的]观察阳中隐阴针刺手法治疗痰湿气虚型卒中相关性肺炎的临床疗效.方法]将60例痰湿气虚型卒中相关性肺炎患者随机分为观察组和对照组,每组各30例.对照组给予原发病治疗、抗感染治疗、营养支持及对症治疗等常规治疗,观察组在对照组治疗的基础上,采用阳中隐阴针刺手法给予针灸治疗.2组患者以治疗7d为1个疗程,均连续治疗2个...

Clinical Observation on Acupuncture with Reinforcement before Purgation in Treating Stroke-Associated Pneumonia of Phlegm-Damp and Qi Deficiency Type

Objective To observe the clinical efficacy of acupuncture with reinforcement before purgation for the treatment of stroke associated pneumonia(SAP)of phlegm-damp and qi deficiency type.Methods Sixty patients with phlegm-damp and qi-deficiency stroke-associated pneumonia were randomly divided into observation group and control group,30 cases in each group.The patients of both groups received conventional treatment including primary disease treatment,anti-infection,nutritional support and symptomatic treatment,additionally,the observation group received acupuncture with reinforcement before purgation.Seven days constituted one treatment course,and the treatment covered 2 continuous coures.After 14-day treatment,the changes in simplified clinical pulmonary infection(CPIS)score,serum procalcitonin(PCT)and white blood cell(WBC)count in both groups were observed before and after treatment,and the clinical efficacy in both groups were evaluated.Results(1)During the trial,5 cases from the observation group were lost to follow-up,3 cases from the control group.Finally,25 cases in the observation group and 27 cases in the control group were included into statistical analysis.(2)The total effective rate was 88.0%(22/25)in the observation group,and was 70.4%(19/27)in the control group.The curative efficacy of the observation group was superior to that of the control group(P<0.05).(3)After treatment,the CPIS score in the two groups was improved(P<0.05),and the improvement in CPIS score of the observation group was superior to that of the control group(P<0.05).(4)After treatment,the serum PCT level and WBC count in the two groups were improved(P<0.05),and the improvement in serum PCT level and WBC count of the observation group was superior to that of the control group(P<0.05).Conclusion Acupuncture with reinforcement before purgation is effective for the treatment of stroke associated pneumonia of phlegm-damp and qi deficiency type,has effects on further improving lung infection in the patients,inhibiting inflammatory reaction,promoting lung inflammatory absorption,further promoting life of quality of the patients.