清金化痰汤联合集束化综合干预治疗痰热壅肺型卒中后肺部感染临床观察

Qingjin Huatan Decoction Combined with Cluster Integrated Intervention in the Treatment of Post-stroke Pulmonary Infection of Phlegm-heat Obstructing Lung Type

目的探讨清金化痰汤联合集束化综合干预对卒中后肺部感染(痰热壅肺证)患者呼吸功能及肺部感染的影响。方法选取2021年1月—2021年12月井冈山大学附属医院脑卒中后肺部感染患者60例,采用随机数字表法分为2组,对照组(30例)予常规治疗干预,观察组(30例)在对照组的基础上配合清金化痰汤及集束化综合干预,比较2组患者呼吸功能指标变化,临床肺部感染评分(CPIS)、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力量表(ADL)评分、患者误吸发生率。结果治疗后,观察组患者呼吸功能指标、NIHSS评分、ADL评分改善明显优于对照组,差异具有统计学意义(P<0.05);观察组患者CPIS评分低于对照组,差异具有统计学意义(P<0.05);观察组误吸发生率13.3%(4/30)低于对照组的23.3%(7/30),差异具有统计学意义(P<0.05)。结论清金化痰汤联合集束化综合干预可明显改善痰热壅肺型卒中后肺部感染患者的呼吸功能、减轻肺部感染、促进神经功能恢复,提高患者生活质量。

Objective To investigate the effect of Qingjin Huatan decoction combined with cluster integrated intervention on respiratory function and pulmonary infection in patients with post-stroke pulmonary infection.Methods A total of 60 patients with pulmonary infection after stroke in ICU of Affiliated Hospital of Jinggangshan University from January 2021 to December 2021 were selected and divided into two groups by random number table method.The control group of 30 cases received routine treatment intervention,and the observation group of 30 cases received Qingjin Huatan decoction combined with cluster integrated intervention.The respiratory function change,neural functional recovery and daily life activities ability score,clinical pulmonary infection score and incidence of aspiration between the two group was compared.Results After treatment,the improvement of respiratory function index,NIHSS score and ADL score in observation group was significantly better than that in control group,and the difference was statistical significance(P<0.05).The CPIS score of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).The incidence of aspiration in the observation group was 13.3%(4/30),which was lower than that in the control group(23.3%,7/30),and the difference was statistically significant(P<0.05).Conclusion Qingjin Huatan decoction combined with cluster integrated intervention can obviously improve the respiratory function of patients with pulmonary infection after stroke of phlegm-heat obstructing lung,reduce lung infection,promote the recovery of nerve function and improve the quality of life of patients.