麻杏石甘汤与穴位贴敷并用治疗老年性支气管肺炎的效果观察

杨玉兰

[摘要]目的 探討麻杏石甘汤与穴位贴敷并用治疗老年性支气管肺炎的临床效果。方法 选择2015年1月～2016年6月在我科接受治疗的78例老年性支气管肺炎患者，将其随机分为两组，每组39例。对照组采取西医常规治疗，观察组加用麻杏石甘汤、穴位贴敷治疗。比较两组的临床疗效、症状缓解时间、肺功能指标、炎症因子指标。结果 观察组的总有效率为94.87%，高于对照组的71.79%，差异有统计学意义（P<0.05）。观察组的各症状缓解时间均短于对照组，差异有统计学意义（P<0.05）。治疗前，组间肺功能指标、炎症因子指标比较，差异均无统计学意义（P>0.05）；治疗后，观察组肺功能指标高于对照组，其炎症因子指标低于对照组，差异均有统计学意义（P<0.05）。结论 在老年性支气管肺炎患者中，采用麻杏石甘汤、穴位贴敷联合治疗切实有效，可有效缓解症状，改善肺功能，抑制机体内炎症反应。

[关键词]老年性支气管肺炎；麻杏石甘汤；穴位贴敷

[中图分类号] R563.1+2 [文献标识码] A [文章编号] 1674-4721（2018）4（a）-0160-03

Effect observation of Maxingshigan Decoction and acupoint application treating senile bronchial pneumonia

YANG Yu-lan

Department of Acupuncture and Moxibustion of TCM，People′s Hospital of Maoming City，Guangdong Province，Maoming 525000，China

[Abstract]Objective To explore the clinical effect of Maxingshigan Decoction combined acupoint application treating senile bronchial pneumonia.Methods Seventy-eight patients with senile bronchial pneumonia treated in our department from January 2015 to June 2016 were selected，and they were randomly divided into the two groups，there were 39 cases in each group.The control group received routine treatment of western medicine，while the observation group received Maxingshigan decoction and acupoint application treatment.The clinical curative effect，symptom relief time，lung function indexes and inflammatory factor indexes were compared between the two groups.Results The total effective rate of the observation group was 94.87%，which was higher than that of the control group （71.79%），and the difference was statistically significant （P<0.05）.The remission time of all the symptoms in the observation group was shorter than thaose in the control group，and the difference was statistically significant （P<0.05）.Before treatment，there was no significant difference in the indexes of pulmonary function and inflammatory factors indexes between the two groups （P>0.05），after treatment，the index of lung function indexes in the observation group were higher than those of the control group，and the index of inflammatory factor indexes were lower than those of the control group，and the differences were statistically significant （P<0.05）.Conclusion In elderly patients with bronchial pneumonia，Maxingshigan Decoction and acupoint application combined treatment is effective，it can effectively relieve symptoms，improve lung function and inhibit the inflammatory reaction in the body.

[Key words]Senile bronchial pneumonia；Maxingshigan Decoction；Acupoint application

支气管肺炎在老年患者中发生率较高，患者多伴随咳嗽、咳痰、气促等症状，对老年支气管肺炎患者的身心健康十分不利，如患者未能得到及时治疗，很可能会发展为严重肺部病变，甚至引发呼吸衰竭，对患者的生命安全构成威胁[1]。如何有效治疗老年支气管肺炎在临床上尚无统一标准，尚有待深入探讨更有效地治疗老年支气管肺炎的方法和手段。近年来，中医治疗老年支气管肺炎取得了一定的成效，常用的中医治疗方法诸如穴位贴敷、中药汤剂等，均可在一定程度上促使老年支气管肺炎患者病情缓解。麻杏石甘汤是一种支气管肺炎的常用汤方，本研究选取在我科接受治疗的78例老年性支气管肺炎患者进行研究，探讨麻杏石甘汤与穴位贴敷并用治疗老年性支气管肺炎的临床效果。……