摘要
Abstract
Objective:Studying on the method of Ditan Tongfu Yiqi Huoxue combined with mechanical ventilation for pulmonary encephalopathy patients with ventilation function,the time of consciousness recovery,and the method of Ditan Tongfu Yiqi Huoxue reduced abdominal distention,vomitting and other adverse reactions caused by noninvasive positive pressure ventilation,to further explore the combination of traditional Chinese and western medicine in the treatment of pulmonary system for emergency and severe cases.Methods:Based on standard cases,selected 99 cases of pulmonary encephalopathy patients from Janurary 2014 to December 2015 in hospital affiliated to Luzhou Medical University.According to the order,patients were divided into tow groups,the treatment group and the controlled group which one was 66 cases and one was 33 cases,and it must follow to randomly.The controlled group used noninvasive ventilation in conventional western medicine treatment and the treatment group on the basis of the controlled group took Chinese medicine medicinal Chengqi enteroclyster and intestinal fluid retention enema treatment,1 time.a day,7 days for a period of treatment.The treatment of patients with visual reaction can be appropriately adjusted the dosage and course of treatment.Observing breathing,ventilation and oxygenation indexes of two groups,compared two groups of noninvasive ventilation in patients with abdominal distention,vomiting,consciousness recovery time,mechanical ventilation time,endotracheal intubation cases,successful cases and death cases from machine.At the same time the data by statistics was analyzed by using of statistical software SPSS.Results:It was concluded that the basic condition of two groups was no significant difference before treatment.(1) The treatment group before and after treatment of TCM symptom score improvement extent there were differences in comparison with the control group (P ＜ 0.05).(2) The treatment group's clinical curative effect was better than that of the controlled group,the difference was statistically significant (P ＜ 0.05).(3) Compared blood gas analysis index:the treatment group before and after treatment the PaCO2 and the PaO2 improvement extent there were no differences in compared with the controlled group (P ＞ 0.05).(4) Compared ventilation time:Mechanical ventilation time was more lower in the treatment group than the controlled group,the difference was statistically significant (P ＜ 0.05).(5) Consciousness recovery time comparison:The treatment group after treatment 1 day GCS score improved better than that of the controlled group (P ＜ 0.05),compared two groups of GCS score 7 days after treatment,there was no statistically significant difference differences (P ＞ 0.05);(6) Compard complications:the complications after treatment group decreased significantly compared with controls,and the difference was statistically significant (P ＜ 0.05).(7) The treatment group endotracheal intubation rate and and withdraw machine the successful cases there were differences between compared with the controlled group (P ＜ 0.05).(6) The AST,ALT,BUN,Cr of the treatment group after treatment compared with control no difference (P ＞ 0.5).Conclusion:Combining the method of Ditan Tongfu Yiqi Huoxue and noninvasive ventilation have effects to pulmonary encephalopathy patient as follows:it can improve the ventilation function of pulmonary encephalopathy patients,reduce ventilation time,improve the average time of consciousness recovery,reduce the tracheal intubation rate and the number of death cases.关键词
慢性阻塞性肺疾病/肺性脑病/无创机械通气/中药灌肠/涤痰通腑/益气活血Key words
Chronic obstructive pulmonary disease/Pulmonary encephalopathy/Non-invasive positive pressure ventilation/Traditional Chinese medicine enema/Method of Ditan Tongfu Yiqi Huoxue分类
医药卫生
