中西医结合治疗重症呼吸衰竭患者的有效性研究
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摘要
目的探究重症呼吸衰竭患者接受中西医结合治疗的价值。方法以2016年8月-2018年8月东莞市人民医院97例重症呼吸衰竭患者为研究对象,计算机随机化法分组,其中对照组实施常规西药治疗,实验组则接受中西医结合治疗,分析两组治疗的结果。结果实验组的总有效率高于对照组(P<0.05);两组治疗后的心率、呼吸、血气指标水平均较治疗前改善,其中实验组治疗后的心率、呼吸、血气指标水平优于对照组(P<0.05);实验组的不良反应几率低于对照组(P<0.05)。结论重症呼吸衰竭患者接受中西医结合治疗的价值较高。
Objective To explore the value of integrated traditional Chinese and Western medicine in patients with severe respiratory failure. Methods 97 patients with severe respiratory failure in Dongguan People's Hospital from August 2016 to August 2018 were divided into two groups by computer randomization. The control group was treated with conventional Western medicine, while the experimental group was treated with integrated traditional Chinese and Western medicine. The results of the two groups were analyzed. Results The total effective rate of the experimental group was higher than that of the control group(P<0.05); the heart rate, breathing and blood gas indexes of the two groups were improved after the treatment, and the heart rate, breathing and blood gas indexes of the experimental group were better than those of the control group(P<0.05); the adverse reaction rate of the experimental group was lower than that of the control group(P<0.05). Conclusion The value of integrated traditional Chinese and Western medicine treatment for patients with severe respiratory failure is higher.
Objective To explore the value of integrated traditional Chinese and Western medicine in patients with severe respiratory failure. Methods 97 patients with severe respiratory failure in Dongguan People's Hospital from August 2016 to August 2018 were divided into two groups by computer randomization. The control group was treated with conventional Western medicine, while the experimental group was treated with integrated traditional Chinese and Western medicine. The results of the two groups were analyzed. Results The total effective rate of the experimental group was higher than that of the control group(P<0.05); the heart rate, breathing and blood gas indexes of the two groups were improved after the treatment, and the heart rate, breathing and blood gas indexes of the experimental group were better than those of the control group(P<0.05); the adverse reaction rate of the experimental group was lower than that of the control group(P<0.05). Conclusion The value of integrated traditional Chinese and Western medicine treatment for patients with severe respiratory failure is higher.
引文
1易琳琳,余秀,叶云,等.清金化痰汤与盐酸氨溴索联合无创机械通气治疗老年慢性阻塞性肺疾病合并重症呼吸衰竭的临床研究[J].中国中医急症, 2018, 27(2):226-229.
2 钟恺立,张宇.大承气汤灌肠联合有创机械通气治疗慢性阻塞性肺疾病呼吸衰竭疗效观察[J].中国中医急症, 2014, 23(1):109-111.
3 罗祖金,曹志新,李倩,等.中药补中益气辅助重症慢性阻塞性肺疾病患者撤离有创正压通气的前瞻性随机对照研究[J].中国医刊, 2016, 51(10):30-35.
4 王丽娜,王文娟.高益民教授肺脾同调治疗小儿重症肺炎并发呼吸衰竭、肺纤维化验案1则[J].环球中医药, 2017, 10(3):332-333.
5 高培阳,周平,张川,等.中西医结合综合治疗脾肾阳虚和痰湿内蕴证慢性阻塞性肺疾病急性加重合并呼吸衰竭患者的临床研究[J].中国中西医结合急救杂志, 2014, 21(4):245-248.
6 徐晨远,张旭峰,赵纯诚,等.支气管镜肺泡灌洗氨溴索联合参芪扶正注射液对老年重症肺炎合并呼吸衰竭患者氧化应激状态、血管内皮功能及肺泡氧合功能的影响[J].现代中西医结合杂志, 2017, 26(32):3564-3567, 3581.
7 王毅.中西医结合治疗重症肺炎致呼吸衰竭疗效及安全性评价[J].当代临床医刊, 2016, 29(6):2714.
8 吴丽丽,王若晖,梁群,等.平喘固本汤联合双水平无创BIPAP治疗慢性阻塞性肺疾病合并呼吸衰竭的临床观察[J].陕西中医,2016, 37(5):515-517, 525.
9 温敏勇,赵馥,曾远峰,等.“治未病”思想在重症医学中的应用探析[J].中国中医急症, 2017, 26(10):1753-1754, 1757.
10 石小羊.中西医结合治疗重症肺炎呼吸衰竭临床疗效分析[J].内蒙古中医药, 2017, 36(6):79.
11 王海峰,张海龙.中西医结合治疗对急性加重期重症慢性阻塞性肺疾病患者CRP和T细胞亚群的影响[J].中医学报, 2017,32(12):2320-2322.
12 张永建,王芳,陆娟英,等.中医辨证治疗慢性阻塞性肺疾病合并呼吸衰竭[J].中医临床研究, 2017, 9(9):9-10.
13 张勇,张义东,盛陈卓娅,等.中西医结合疗法对重症肺炎机械通气患者的脱机疗效观察[J].中国中医急症, 2013, 22(1):120-121.
14 严可风,何月利,潘利平,等.益气活血化瘀汤辅助BiPAP治疗AECOPD合并呼吸衰竭临床疗效观察[J].浙江中西医结合杂志,2017, 27(11):931-935.
15 陆军,吴国芳,王倩,等.丹红注射液联合急诊无创正压通气对重症哮喘合并II型呼吸衰竭患者凝血功能、免疫炎性和氧化应激反应的影响[J].现代中西医结合杂志, 2018, 27(5):495-499.
16 张涛,吴伟东.通腑泻肺方配合双水平无创正压通气对AECOPD呼吸衰竭患者免疫功能及并发症的影响[J].中国中医急症, 2015, 24(4):743-744.
17 付跃峰,刘清泉,蔡阳平,等.AECOPD呼吸衰竭中医证素、证候的分布及与胃肠功能障碍相关研究[J].世界中医药, 2014,9(3):265-269, 274.
18 朱宇东.中医辨证治疗慢性阻塞性肺疾病并呼吸衰竭心力衰竭的临床分析[J].中医临床研究, 2016, 8(29):77-78.
2 钟恺立,张宇.大承气汤灌肠联合有创机械通气治疗慢性阻塞性肺疾病呼吸衰竭疗效观察[J].中国中医急症, 2014, 23(1):109-111.
3 罗祖金,曹志新,李倩,等.中药补中益气辅助重症慢性阻塞性肺疾病患者撤离有创正压通气的前瞻性随机对照研究[J].中国医刊, 2016, 51(10):30-35.
4 王丽娜,王文娟.高益民教授肺脾同调治疗小儿重症肺炎并发呼吸衰竭、肺纤维化验案1则[J].环球中医药, 2017, 10(3):332-333.
5 高培阳,周平,张川,等.中西医结合综合治疗脾肾阳虚和痰湿内蕴证慢性阻塞性肺疾病急性加重合并呼吸衰竭患者的临床研究[J].中国中西医结合急救杂志, 2014, 21(4):245-248.
6 徐晨远,张旭峰,赵纯诚,等.支气管镜肺泡灌洗氨溴索联合参芪扶正注射液对老年重症肺炎合并呼吸衰竭患者氧化应激状态、血管内皮功能及肺泡氧合功能的影响[J].现代中西医结合杂志, 2017, 26(32):3564-3567, 3581.
7 王毅.中西医结合治疗重症肺炎致呼吸衰竭疗效及安全性评价[J].当代临床医刊, 2016, 29(6):2714.
8 吴丽丽,王若晖,梁群,等.平喘固本汤联合双水平无创BIPAP治疗慢性阻塞性肺疾病合并呼吸衰竭的临床观察[J].陕西中医,2016, 37(5):515-517, 525.
9 温敏勇,赵馥,曾远峰,等.“治未病”思想在重症医学中的应用探析[J].中国中医急症, 2017, 26(10):1753-1754, 1757.
10 石小羊.中西医结合治疗重症肺炎呼吸衰竭临床疗效分析[J].内蒙古中医药, 2017, 36(6):79.
11 王海峰,张海龙.中西医结合治疗对急性加重期重症慢性阻塞性肺疾病患者CRP和T细胞亚群的影响[J].中医学报, 2017,32(12):2320-2322.
12 张永建,王芳,陆娟英,等.中医辨证治疗慢性阻塞性肺疾病合并呼吸衰竭[J].中医临床研究, 2017, 9(9):9-10.
13 张勇,张义东,盛陈卓娅,等.中西医结合疗法对重症肺炎机械通气患者的脱机疗效观察[J].中国中医急症, 2013, 22(1):120-121.
14 严可风,何月利,潘利平,等.益气活血化瘀汤辅助BiPAP治疗AECOPD合并呼吸衰竭临床疗效观察[J].浙江中西医结合杂志,2017, 27(11):931-935.
15 陆军,吴国芳,王倩,等.丹红注射液联合急诊无创正压通气对重症哮喘合并II型呼吸衰竭患者凝血功能、免疫炎性和氧化应激反应的影响[J].现代中西医结合杂志, 2018, 27(5):495-499.
16 张涛,吴伟东.通腑泻肺方配合双水平无创正压通气对AECOPD呼吸衰竭患者免疫功能及并发症的影响[J].中国中医急症, 2015, 24(4):743-744.
17 付跃峰,刘清泉,蔡阳平,等.AECOPD呼吸衰竭中医证素、证候的分布及与胃肠功能障碍相关研究[J].世界中医药, 2014,9(3):265-269, 274.
18 朱宇东.中医辨证治疗慢性阻塞性肺疾病并呼吸衰竭心力衰竭的临床分析[J].中医临床研究, 2016, 8(29):77-78.