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针药并用治疗老年人肺炎合并肠功能失常28例观察
刘亚丽1, 王东强2, 李桂兰1, 郭义1, 陈莉2, 陈洁2, 李志军2
1.天津中医药大学, 天津 300193;2.天津市第一中心医院中西医结合科, 天津 300192
摘要:
[目的]观察西医结合中医对肺炎合并肠功能失常患者治疗的疗效。[方法]将56例患者随机分成对照组和治疗组,每组28例。对照组给予常规西药治疗;治疗组给予西药常规治疗基础上,给予宣白承气汤加减口服及针刺气海、关元、足三里、下巨虚穴位等。治疗2周后观察症状及疗效。[结果]经过2周的治疗,治疗组临床治愈14例,好转12例,无效2例;对照组临床治愈8例,好转11例,无效9例。随访治疗组病程较短,从两组治疗前后症状、体征等改变,可以看出两组对肺炎合并肠功能失常均有疗效,治疗组效果明显。[结论]针药并用治疗肺病及肠疗效满意。
关键词:  宣白承气汤  针刺  肺与大肠相表里
DOI:10.11656/j.issn.1672-1519.2012.01.13
分类号:
基金项目:国家重点基础研究发展计划“973计划”项目(2009CB522702)
Curative effect of acupuncture combined with herbal medicine on pneumonia complicated with intestinal dysfunction in 28 elderly patients
LIU Ya-li1, WANG Dong-qiang2, LI Gui-lan1, GUO Yi1, CHEN Li2, CHEN Jie2, LI Zhi-jun2
1.Tianjin University of TCM, Tianjin 300193, China;2.Tianjin First Center Hospital, Tianjin 300192, China
Abstract:
[Objective] To observe the therapeutic efficacy of the integrated TCM and Western medicine for patients with pneumonia complicated by intestinal dysfunction.[Methods] Fifty-six patients were randomly divided into two groups: the control group and the intervention group.Each group had 28 patients.The control group received conventional Western medicine.The intervention group,apart from taking conventional Western medicine,was also given herbal medicine Xuanbai Chengqi decoction combining with acupuncture on Guanyuan(RN4),Zusanli(ST36),Xiajuxu(ST39),etc.The symptoms and therapeutic efficacy two seeks after treatment were observed.[Results] After treatment,in the intervention group 14 cases were cured,12 cases improved,2 cases were inefficient,while in the control group 8 cases cured,11 cases improved and 9 cases inefficient.Although the duration of follow-up survey for the intervention group was shorter,according to the changes of the relevant symptoms and physical signs it was demonstrated that both the two groups are effective in treating pneumonia complicated by intestinal dysfunction and the efficacy of the intervention group was more significant.[Conclusion] Acupuncture with herbal medicine has good efficacy on treating pneumonia complicated by intestinal dysfunction.
Key words:  Xuanbai Chengqi decoction  acupuncture  the lung and the large intestine being interior-xterior related
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