研究中药外敷、按摩综合疗法治疗新生儿呼吸机相关性肺炎并发中毒性肠麻痹的临床疗效

Efficacy of external application plus massage on neonatal ventilator-related pneumonia with toxic intestinal paralysis

目的:探究观察新生儿呼吸机相关性肺炎(Ventilator Associated Pneumonia,VAP)并发中毒性肠麻痹应用中医综合疗法的临床效果。方法;随机筛选2014年1月-2019年1月我院新生儿科收治的VAP并发中毒性肠麻痹患儿184例,运用抽签方法将184例患儿分为两组,各92例;采用单纯西药方案给予对照组患儿治疗,在西药治疗基础上,观察组联合中医综合疗法,对比两组患儿临床治疗情况。结果:研究显示,治疗后观察组红细胞降沉率(Erythrocyte Sedimentation Rate,ESR)、超敏C反应蛋白(High-sensitivity C-reactive Protein,hs-CRP)、白细胞计数(White Blood Cell Count,WBC)等生化指标均低于对照组(P <0.05);观察组胃肠反应分级优于对照组(P <0.05),且观察组首次排气时间、肠鸣音恢复时间均低于对照组(P <0.05)治疗前对比两组症状积分(P> 0.05);治疗后,观察组症状积分低于对照组(P <0.05)。结论:对新生儿VAP并中毒性肠麻痹在基础治疗上,联合中医综合疗法,有助于增强患儿机体免疫力,提高治疗效果,改善患儿胃肠功能,促进肠道蠕动,缩短患儿恢复时间,减轻家庭经济负担,值得推广。

Objective: To explore and observe the clinical effect of TCM on ventilator-related pneumonia with toxic intestinal paralysis. Methods: 184 children were divided into two groups by lottery method, 92 cases in each group. The control group was treated with western medicine alone. The observation group was given TCM more. Results: ESR, hs-CRP, WBC and other biochemical indicators in the observation group were lower than those in the control group(P<0.05). The gastrointestinal reaction grade in the observation group was better than that in the control group(P<0.05).And the first exhaust time and the recovery time of bowel sounds in the observation group were lower than those in the control group(P<0.05). After treatment, the syndrome score in the observation group was lower than that in the control group(P>0.05). Conclusion: Internal application plus massage can enhance the immunity of the body, improve the gastrointestinal function, promote intestinal peristalsis, shorten the recovery time and reduce the economic burden of the children. It is worth promoting.