中西医结合治疗ICU缺血性脑中卒合并重症肺炎的疗效研究

Clinical effect of the integrative medicine on ischemic cerebral apoplexy with severe pneumonia in ICU

目的:评估在传统西药治疗基础上联合中药(血必净)治疗ICU缺血性脑卒中合并重症肺炎的临床效果。方法:选取2019年3月―2020年3月ICU收治的缺血性脑卒中合并重症肺炎患者80例作为研究对象,根据入院时间分为试验组与对照组,每组40例。对照组根据患者的实际情况予西药治疗,试验组在西药治疗的基础上联合血必净治疗,比较两组患者的治疗效果及血清炎性因子相关指标。结果:治疗前两组患者血清炎性因子相关指标白细胞计数(White Blood Cell,WBC)、中性粒细胞分数(Neutrophil,NEUT)、C反应蛋白(C-reactive protein,CRP)均差异无统计学意义(P>0.05);治疗后试验组患者WBC、NEUT、CRP相比于对照组具有明显优势。试验组患者治疗总有效率高于对照组(P<0.05),差异有统计学意义。结论:治疗ICU缺血性脑卒中合并重症肺炎,常规西药联合中药(血必净)比单独西药治疗,前者能更好地改善患者的血清炎性因子相关指标,提高机体免疫力,促进肺部阴影快速消失。中西医联合治疗方案疗效显著,具有较高的推广价值。

Objective:To evaluate the clinical effect of Western medicine plus Traditional Chinese medicine(Xuebijing)(血必净)on ICU ischemic stroke with severe pneumonia.Methods:A total of 80 cases of ischemic stroke with severe pneumonia admitted to the ICU from March 2019 to March 2020 were selected as the study objects.According to the time of admission,they were devided into 2 groups,namely the test group and the control group,with 40 patients in each group.The control group took Western medicine according to their actual situation,and the took group TCM medicine more.The posttreatment effects and serum inflammatory factors related indicators in the two groups were compared.Results:Before treatment,there was no significant difference in serum inflammatory factors(WBC,NEUT,CRP)between the two groups,P>0.05.After treatment,WBC,NEUT,CRP in the test group had obvious advantages compared with the control group.The effective rate in the test group was significantly higher,P<0.05,the difference was statistically significant.Conclusion:The integrative medicine on ischemic stroke in the ICU patients severe pneumonia,compared with Western medicine treatment alone,can significantly ameliorate the patients serum inflammatory factors related indicators,improve body immunity,promote lung shadow disappear quickly,and ameliorate the clinical symptoms.The integrative medicine is highly curative effect and has good promotion value.