重症颅脑损伤并发肺部感染原因分析及中医辨证施治配合早期物理干预效果

Severe Craniocerebral Injury Complicated Pulmonary Infection Reason Analysis and Treatment Based on Syndrome Differentiation of Chinese Medicine with Early Physical Intervention

目的:研究颅脑损伤并发肺部感染的原因及中医辨证施治配合早期物理干预的效果。方法:选择在本院就诊的重症颅脑损伤患者作为本次前瞻性研究的对象,观察受试对象的一般资料,并将合并肺部感染的患者随机分为给予中医辨证施治配合早期物理干预的观察组和早期物理干预的对照组,观察呼吸功能和神经功能恢复情况。结果:并发肺部感染患者的年龄、伤后发生误吸例数、送至医院就诊时间、合并胸部损伤例数、既往存在肺部疾病例数均明显多于未并发肺部感染的患者,且与肺部感染的发生呈正相关;观察组的血氧饱和度、动脉血氧分压均明显高于对照组;呼吸恢复平稳、X线征象消失、肺部啰音消失均明显低于对照组。结论:年龄、伤后误吸、合并胸部损伤、既往存在肺部疾病以及送医时间与并发肺部感染密切相关,中医辨证施治配合早期物理干预能够有效改善呼吸功能和神经功能,具有积极的临床价值。

Objective：To study the reason of severe craniocerebral injury complicated pulmonary infection and effect of treatment based on syndrome differentiation of Chinese medicine with early physical intervention. Methods ： General infnrmation of severe craniocerebral injury was collected and divided into observation group given treatment based on syndrome differentiation of Chinese medicine with early physical intervention and control group given early physical intervention. Then respiratory function and neurological function were observed. Results ： Age, aspiration cases, sent to hospital time, chest injury cases, pre - existing lung disease cases of pulmonary infection patients were significantly more than others, and were positively eorrelated with pulmonary infection;aspiratory function and neurological function of observation group were better than the control group. Concllzsion：Age,aspiration, chest injury, pre - existing lung disease and hospitalized time were closely related to pulmonry infection and treatment based on syndrome differentiation of Chinese medicine with early physical intervention can effectively improve the respiratory function and neural function.