氦氖激光胸部理疗辅助治疗在老年重症肺炎患者中的应用效果

Clinical evaluation of He-Ne laser chest physiotherapy for the treatment of elderly severe pneumonia

目的：观察氦氖激光对重症肺炎患者的肺保护作用。方法将120例急性重症肺炎患者分为基础治疗组和氦氖激光组各60例。基础治疗组进行常规治疗，氦氖激光组在进行基础治疗的基础上加用氦氖激光辅助治疗，比较两组患者的临床疗效，治疗前、治疗后第10天体温（T）、血白细胞（WBC）、氧合指数（PaO2／FiO2）、临床肺部感染评分（ CPIS）等。结果基础治疗组T、WBC、PaO2／FiO2、CPIS改善情况明显优于对照组（ P＜0.05）；两组总有效率分别为81.67％、91.67％，差异有统计学意义（ P＜0.05）。结论氦氖激光仪辅助治疗重症肺炎患者，可有效减轻患者病情，改善各项炎症指标及氧合指数。

Objective To study the lung protection of He-Ne laser chest physiotherapy in the patients with se-vere pneumonia.Methods 120 acute severe pneumonia patients were divided into routine treatment group and He-Ne laser group.Patients in the routine treatment group were treated with the basis of conventional treatment, and in the He-Ne laser group on the basis of conventional therapy were added He-Ne laser assisted treatment.Clinical effect, tem-perature, serum white blood cells, oxygenation index （ PaO2/FiO2 ） , CPIS score of before and the 10th day after treat-ment between the two groups were observed.Results The changs of temperature, serum white blood cells, oxygenation index （ PaO2/FiO2 ） , CPIS score in He-Ne laser group were significantly better than those of the routine treatment group （P〈0.05）.The total effective rate of the two groups were 81.67%and 91.67%, there was significant difference （P〈0.05） .Conclusions He-Ne laser could effectively alleviate the severe pneumonia, improve the inflammatory reac-tion, oxygenation index of patients with severe pneumonia.