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| 基于“表里同治”原理的针刺疗法治疗肺部感染相关性急性呼吸窘迫综合征的临床研究 |
| Clinical Study on Acupuncture Therapy for Treating Pulmonary Infection-Related Acute Respiratory Distress Syndrome Based on the Principle of 'Treating the Exterior and Interior Simultaneously |
| 投稿时间：2026-03-25 修订日期：2026-03-25 |
| 中文关键词: 表里同治 针灸 肺热腑实证 急性呼吸窘迫综合征 静态顺应性 拔管成功率 |
| 英文关键词: Synchronized treatment of interior and exterior Acupuncture Lung-Heat with Organ Fullness Pattern Acute respiratory distress syndrome Static compliance Extubation success rate |
| 基金项目:2024年度金华市公益性技术应用研究项目（2024-4-138） |
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| 中文摘要: |
| 目的 观察基于“表里同治”原理的针刺疗法对肺部感染相关性急性呼吸窘迫综合征（Acute Respiratory Distress Syndrome, ARDS）的临床疗效。方法 选择肺热腑实证型的肺部感染相关性ARDS患者80例，随机分成对照组和治疗组各40例，对照组给予气管插管后常规机械通气治疗，治疗组在对照组基础上给予“表里同治”针刺治疗。对比两组患者治疗前后的中医证候评分、平台压(plateau pressure，Pplat)、静态顺应性（static lung compliance，Cst）、氧合指数（oxygenation index, OI）及拔管成功率。结果 两组患者经过治疗各项中医证候评分、Pplat均有下降（P ＜0.05），Cst、OI均有提高（P ＜0.05），且治疗组更明显（P ＜0.05）。治疗组拔管成功率为60.53%（23/38），高于对照组的33.33%（13/39，P ＜0.05）。结论 基于“表里同治”原理的针刺疗法能够改善肺热腑实证肺部感染相关性ARDS患者的临床症状，提高呼吸系统顺应性，改善氧合，提高拔管成功率，且具有较好的安全性。 |
| 英文摘要: |
| Objective：To observe the clinical efficacy of acupuncture therapy based on the principle of 'treating the internal and external concurrently' for lung infection-related acute respiratory distress syndrome (ARDS).Methods：We found 80 cases of ARDS patients with lung infections of the lung-heat and organ-excess pattern.We took them as research subjects and randomly divided them into two groups, 40 cases each.The control group received routine mechanical ventilation treatment after tracheal intubation, while the treatment group received 'internal and external simultaneous treatment' acupuncture on the basis of the control group.Compare the Traditional Chinese Medicine syndrome scores, plateau pressure (Pplat), static lung compliance (Cst), oxygenation index (OI), and extubation success rate before and after treatment in the two groups of patients.
Results：All cases showed a decrease in TCM syndrome scores and Pplat after treatment (P < 0.05), and the treatment group was lower than the control group (P < 0.05).All cases showed an increase in Cst and OI after treatment(P < 0.05), moreover, the treatment group performed better (P < 0.05).The extubation success rate in the treatment group was 60.53% (23/38), higher than 33.33% (13/39) in the control group (P < 0.05).Conclusion:Acupuncture therapy based on the principle of 'treating the exterior and interior simultaneously' can improve clinical symptoms in patients with lung infection-related ARDS with lung-heat and organ-excess syndrome, enhance respiratory system compliance, improve oxygenation, increase the success rate of extubation, and has relatively good safety. |
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