Clinical Efficacy of"Lung-intestinal Treatment"Method for Adjuvant Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease Mechanical Ventilation Patients with Syndrome of Lung Heat and Fu-viscera Excess
10.16466/j.issn1005-5509.2023.12.013
- VernacularTitle:"肺肠同治"法辅助治疗慢性阻塞性肺疾病急性加重期肺热腑实证机械通气患者临床研究
- Author:
Jialong JIANG
1
;
Peng XU
;
Liming LOU
Author Information
1. 浙江中医药大学第三临床医学院 杭州 310053
- Keywords:
lung-intestinal treatment;
acute exacerbation of chronic obstructive pulmonary disease;
lung heat and Fu-viscera excess;
mechanical ventilation;
Chinese medicine therapy;
clinical observation
- From:
Journal of Zhejiang Chinese Medical University
2023;47(12):1457-1462
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To observe the clinical effect of"lung-intestinal treatment"method for adjuvant treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)mechanical ventilation patients with syndrome of lung heat and Fu-viscera excess.[Methods]Sixty-two patients with AECOPD in Pulmonary and Critical Care Medicine(PCCM)and Intensive Care Unit(ICU)of the Third Affiliated Hospital of Zhejiang Chinese Medical University were selected and divided into conventional treatment group and treatment group by random number table,31 cases in each group.The conventional treatment group was treated with western medicine,and the treatment group was added with lung-intestinal treatment on the basis of the conventional treatment group.The traditional Chinese medicine(TCM)syndrome points,blood gas index,ventilator parameters,mechanical ventilation time,complications and clinical effects were observed.[Results]Compared with before treatment,the conventional treatment group had improvement in the blood gas index,ventilator parameters,TCM syndrome(cough and asthma,sputum,abdominal distension and constipation,fever,chest tightness)and total points after treatment(P＜0.05);after treatment,the blood gas index,ventilator parameters,TCM syndrome(cough and asthma,sputum,abdominal distension and constipation,fever,chest tightness,loss of appetite)were relieved and total scores were all improved in the treatment group(P＜0.05).Compared with the conventional treatment group,the treatment group had significantly improved blood gas index,ventilator parameters and clinical effects,the TCM symptoms(chest tightness,cough and asthma,abdominal distension and constipation,loss of appetite)were relieved and total scores were improved(P＜0.05),and the time of mechanical ventilation and complications were reduced compared with the conventional treatment group(P＜0.05).[Conclusion]The treatment of AECOPD mechanical ventilation patients with"lung-intestinal treatment"method has clear cu rative effect,which can relieve clinical symptoms,shorten the time of mechanical ventilation,and the efficacy is better than that of western medicine alone.
