| 张珺.中药雾化吸入治疗脑卒中后并发坠积性肺炎的疗效观察张珺、何君毅、何宇喆[J].实用中西医结合临床,2016,16(12): |
| 中药雾化吸入治疗脑卒中后并发坠积性肺炎的疗效观察张珺、何君毅、何宇喆 |
| Therapeutic effect of aerosol inhalation of traditional Chinese medicine on the treatment of stroke patients complicated with acute pneumonia |
| 投稿时间：2016-11-22 修订日期：2016-12-14 |
| DOI： |
| 中文关键词: 中药雾化吸入 脑卒中 坠积性肺炎 |
| 英文关键词: Traditional Chinese medicine atomization inhalation stroke falling product pneumonia |
| 基金项目:项目编号：2014-y1-04 项目类型：广州市海珠区民生科技项目 |
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| 中文摘要: |
| 【】目的：探讨中药雾化吸入治疗脑卒中后并发坠积性肺炎的临床疗效。方法：选择2014年7月-2016年2月在海珠区龙凤街社区卫生服务中心住院部脑卒中后并发坠积性肺炎患者63例为研究对象,采用数字随机法将其随机分为对照组(n=31)与治疗组(n=32),两组患者均接受抗生素、对症及原发病等常规治疗,在此基础上进行雾化吸入治疗,其中,对照组患者接受盐酸氨溴索雾化吸入治疗,治疗组患者接受二陈汤雾化吸入治疗,比较两组患者治疗效果。结果：治疗组患者的总有效率为78.13%,对照组为83.87%,两组比较无明显差异(P>0.05)；治疗组患者的胸片阴影和肺部啰音阴性率与对照组患者相比无明显差异(P>0.05)；治疗后,治疗组患者的PaCO2和SaO2水平与对照组相比无明显差异(P>0.05)。结论：中药雾化吸入治疗脑卒中后并发坠积性肺炎的临床效果与氨溴索效果相当,可有效缓解患者的病情,使气道维持在稳定状态,开拓出多一种雾化吸入的途径,为脑卒中后并发坠积性肺炎提供多一种治疗方法,值得临床推广应用。 |
| 英文摘要: |
| Objective: To investigate the clinical effect of aerosol inhalation of traditional Chinese medicine in the treatment of stroke patients complicated with falling volume pneumonia. Methods: 63 post-stroke patients with hypostatic pneumonia from July 2014 to February 2016 in Haizhuqu District Longfeng Street Community Health Service Center were selected as the research object, and randomly divided into the control group (n=31) and the treatment group (n=32) using the random number method. Two groups of patients received antibiotics, symptomatic and primary disease and other conventional treatment, and inhalation therapy, the control group received ambroxol hydrochloride inhalation therapy, the treatment group received two Decoction inhalation therapy, the treatment effect were compared between the two groups. Results: the total effective rate of the treatment group was 78.13%, the control group was 83.87%,there was no significant difference between the two groups (P>0.05).; the treatment group of patients with chest X-ray shadow and pulmonary rales negative rate showed no significant difference compared with the control group (P>0.05); after treatment, the treatment group of patients with PaCO2 and SaO2 level had no significant difference compared with the control group (P>0.05). Conclusion: the clinical effect of traditional Chinese medicine atomization inhalation in the treatment of stroke patients complicated with acute pneumonia after stroke is equivalent to the antibiotic effect, this kind of treatment can effectively alleviate the patient"s condition, maintains the airway in a stable state, and help solve the overuse of antibiotics and drug resistance, it is worthy of clinical application. |
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