"杂合以治"法治疗ICU-获得性衰弱30例

Treatment of 30 cases of intensive care unit-acquired weakness with"Hybrid treatment"

目的 观察多种传统中医方法"杂合以治"干预早期重症监护病房-获得性衰弱(ICU-AW)患者的临床疗效.方法 选择河北省沧州中西医结合医院重症监护病房(ICU)2020年1月至9月收治的30例机械通气患者作为研究对象.诊断明确后均给予补中益气汤加减联合揿针及耳穴埋豆等多种传统中医方法"杂合以治".观察患者症状、体征、证候积分、肢体活动、神经系统检查及实验室检查等临床指标的变化,评价其临床疗效.结果 治疗后痊愈9例,显效12例,有效7例,无效2例,总有效率为93.33%.结论 采用补中益气汤加减联合揿针及耳穴埋豆等多种传统中医方法的"杂合以治"方案对早期ICU-AW有良好临床疗效,对未病先防、前提医疗战线具有一定的积极意义.

Objective To observe the clinical curative effect of using"Hybrid treatment"of multiple traditional Chinese medicine(TCM)methods for intervention of early intensive care unit-acquired weakness(ICU-AW).Methods From January to September 2020,30 patients with treatment of mechanical ventilation admited to intensive care unit(ICU)of Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province were selected as the research objects.Affer the diagnosis was confirmed,all patients were given"Hybrid treatment"of several TCM methods,such as adding or subtracting component or components in Buzhong Yiqi Decoction combined with pressthe needle at acupoints or ear point buried beans,etc.The changes of patients symptoms,signs,syndrome scores,limb activities,neurological examinations,laboratory examinations,etc.clinical indexes were observed,and clinical efficacy was evaluated.Result After treatment,9 cases were cured,12 markedly effective,7 cases effective and 2 cases ineffective,the total effective rate being 93.33%.Conclusion The"hybrid treatment"of TCM methods such as adding or subtracting the component or components in Buzhong Yiqi Decoction combined with implanting press the needle and ear point buried beans has good clinical ffects on patients with ICU-A W in early stage,it has certain positive significance to the front of pre-disease prevention and prerequisite medical treatment.