Effect of routine treatment of western medicine combined with nasal feeding of qingqi liangying decoction on inflammatory reaction, pulmonary function and TCM syndrome score in emergency patients with ventilator-associated pneumonia
10.7619/jcmp.201807012
- VernacularTitle:西医常规治疗联合清气凉营汤鼻饲对急诊呼吸机相关性肺炎患者炎症反应、肺功能及中医证候评分的影响
- Author:
Feng GUO
1
;
Shuli ZHANG
;
Xiaoying YIN
Author Information
1. 山东省青岛市胶州中心医院
- Keywords:
nasal feeding;
qingqi liangying decoction;
emergency;
ventilator;
pneumonia;
TCM syndrome score
- From:
Journal of Clinical Medicine in Practice
2018;22(7):45-47,52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of western medicine combined with qingqi liangying decoction by nasal feeding on the inflammatory reaction,pulmonary function and TCM syndrome score in emergency patients with ventilator-associated pneumonia.Methods A total of 100 emergency patients with ventilator-associated pneumonia (TCM differentiation as syndrome of flaring heat in qifen and yingfen) were selected and randomly divided into control group and experimental group.The experimental group was treated with routine western medicine and qingqi liangying decoction by nasal feeding,while the control group was given routine treatment of western medicine.The curative effect,TCM symptom score,C reactive protein (CRP),procalcitonin (PCT),white blood cell count (WBC),vital capacity (VC),the largest independent minute ventilation (MVV) and forced expiratory volume (FEV1) were compared.Results Compared with before treatment,the total score of TCM syndrome,tongue image,pulse condition,symptoms and signs scores of the two groups after treatment significantly decreased (P ＜ 0.05),and the indexes of control group were significantly higher than the experimental group (P ＜0.05).Compared with before treatment,the MVV,VC and FEV1 of the two groups after treatment significantly increased (P ＜ 0.05),and the indexes of control group were significantly lower than the experimental group (P ＜ 0.05).Compared with before treatment,the levels of PCT and CRP in the two groups after treatment significantly decreased (P ＜ 0.05),WBC significantly increased (P ＜ 0.05),and the indexes of experimental group were significantly better than the control group (P ＜ 0.05).Conclusion Qingqi liangying decoction by nasal feeding combined with western medicine can inhibit the inflammation,improve the curative effect,reduce the TCM syndrome score and improve lung function.
