| 阮雪萍,阙小玲,李博文.基于肝升肺降理论探讨针刺疗法治疗脑卒中后肺部感染的临床疗效及对膈肌功能的影响[J].,2025,(18):2917-2924 |
| 基于肝升肺降理论探讨针刺疗法治疗脑卒中后肺部感染的临床疗效及对膈肌功能的影响 |
| Clinical Efficacy of Acupuncture Therapy in Treating Post-Stroke Pulmonary and its Impact on Diaphragm Function Based on the Theory of Liver Ascending and Lung Descending |
| 投稿时间：2025-04-19 |
| DOI：10.13241/j.cnki.pmb.2025.18.006 |
| 中文关键词: 肝升肺降 针刺疗法 脑卒中后肺部感染 临床疗效 膈肌功能 |
| 英文关键词: Liver ascending and lung descending Acupuncture therapy Post-stroke pulmonary Clinical efficacy Diaphragm function |
| 基金项目:福建省科技厅科技平台建设项目（2021Y2003） |
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| 中文摘要: |
| 摘要 目的：基于肝升肺降理论探讨针刺疗法治疗脑卒中后肺部感染（Post-stroke pneumonia, PSP）的临床疗效及对膈肌功能的影响。方法：本研究为前瞻性研究，纳入我院2023年4月至2024年8月期间收治的70例PSP患者，按照随机数字表法分为对照组和研究组，每组各35例。两组均接受常规治疗，对照组接受呼吸训练，研究组接受呼吸训练联合针刺疗法。比较两组临床疗效、体征恢复时间、相关量表评分[临床肺部感染评分（clinical pulmonary infection score, CPIS）、美国国立卫生研究院卒中量表（National Institute of HealthStroke Scale, NIHSS）]、血气及肺功能指标[动脉血氧分压（partial pressure of oxygen, PaO2）、动脉二氧化碳分压（partial pressure of carbondioxide, PaCO2）、第1秒用力肺呼气容积（forced expiratory volume in one second, FEV1）、呼气流速峰值（peak expiratory flow, PEF）]和膈肌功能。结果：研究组的临床总有效率高于对照组，发热消退时间、肺部感染缓解时间、肺部湿啰音消失时间、咳嗽消失时间短于对照组（P<0.05）。研究组干预14 d后CPIS评分、NIHSS评分和PaCO22低于对照组，FEV1、PEF、PaO2、膈肌增厚率和膈肌活动度高于对照组（P<0.05）。结论：基于肝升肺降理论的针刺疗法治疗PSP患者，可缩短体征恢复时间，提高临床治疗效果，减轻感染程度和大脑神经损伤，改善患者的肺功能和膈肌功能。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical efficacy of acupuncture therapy in treating post-stroke pulmonary (PSP) and its impact on diaphragm function based on the theory of liver ascending and lung descending. Methods: This study was a prospective study, 70 PSP patients who were admitted to our hospital from April 2023 to August 2024 were selected, they were divided into control group and study group according to the random number table method, with 35 patients in each group. Both groups received routine treatment, the control group received respiratory training, while the study group received respiratory training combined with acupuncture therapy. Clinical efficacy, recovery time of signs, related scale scores [clinical pulmonary infection score (CPIS), National Institute of HealthStroke Scale (NIHSS)], blood gas and lung function indicators [(partial pressure of oxygen (PaO2), partial pressure of carbondioxide (PaCO2), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF)]and diaphragm function between two groups were compared. Results: The total clinical effective rate of the study group was higher than that of the control group, and the time for fever resolution, relief of pulmonary infection, disappearance of pulmonary wet rales and disappearance of cough were shorter than those of the control group (P<0.05). The CPIS scores, NIHSS scores and PaCO2 of the study group at 14 days after intervention were lower than those of the control group, FEV1, PEF, PaO2, thickening rate and activity of diaphragm were higher than those of the control group (P<0.05). Conclusion: Acupuncture therapy in treating PSP patients based on the theory of liver ascending and lung descending, can shorten recovery time of signs, improve clinical treatment effectiveness, reduce the degree of infection and brain nerve damage, and improve patients' lung function and diaphragm function. |
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