千金苇茎汤化裁联合穴位贴敷对老年重症肺炎患者临床分析

Clinical Efficacy Analysis of Modified Qianjin Weijing Decoction Combined with Acupoint Application in Elderly Patients with Severe Pneumonia

摘要: 目的：本研究通过回顾性对比试验，评价千金苇茎汤化裁联合穴位贴敷对老年重症肺炎患者的临床效果，分析其对呼吸功能、炎症反应、凝血功能及复发率的影响，为中西医结合治疗提供循证依据。方法：选取2023年12月至2024年8月伊犁州奎屯医院呼吸科200例老年重症肺炎患者，随机分为对照组(n = 100)和观察组(n = 100)。对照组采用常规西医治疗，观察组加用千金苇茎汤化裁联合穴位贴敷。比较两组呼吸力学指标、炎症因子水平、血气指标、症状改善时间、凝血功能指标及复发率，采用SPSS 27.0软件分析，P < 0.05为差异有统计学意义。结果：两组基线特征无显著差异(P > 0.05)。观察组呼吸功能、炎症反应及氧合状态相关指标显著优于对照组(P < 0.05)；症状改善时间缩短，凝血功能指标更优(P < 0.05)；复发率显著低于对照组(P < 0.05)。结论：千金苇茎汤化裁联合穴位贴敷可改善老年重症肺炎患者呼吸功能、减轻炎症反应、提升氧合状态、缓解症状、改善凝血功能并降低复发率，为中西医结合治疗提供循证依据，为中医药现代化提供新思路。

Abstract: Objective: This study aims to evaluate the clinical efficacy of modified Qianjin Weijing Decoction combined with acupoint application in elderly patients with severe pneumonia through a retrospective controlled trial, analyze its effects on respiratory function, inflammatory response, coagulation function, and recurrence rate, and provide evidence-based basis for integrated traditional Chinese and Western medicine treatment. Methods: A total of 200 elderly patients with severe pneumonia admitted to the Department of Respiratory Medicine, Kuitun Hospital of Yili Prefecture from December 2023 to August 2024 were randomly divided into a control group (n = 100) and an observation group (n = 100). The control group received conventional Western medicine treatment, while the observation group was additionally given modified Qianjin Weijing Decoction combined with acupoint application. Respiratory mechanics indexes, inflammatory factor levels, blood gas indexes, symptom improvement time, coagulation function indexes, and recurrence rate were compared between the two groups. SPSS 27.0 software was used for statistical analysis, with P < 0.05 indicating statistically significant differences. Results: There were no significant differences in baseline characteristics between the two groups (P > 0.05). The observation group showed significantly better performance in respiratory function, inflammatory response, oxygenation status (P < 0.05), shorter symptom improvement time, better coagulation function indexes (P < 0.05), and a significantly lower recurrence rate (P < 0.05) compared with the control group. Conclusion: Modified Qianjin Weijing Decoction combined with acupoint application can improve respiratory function, reduce inflammatory response, enhance oxygenation status, relieve symptoms, improve coagulation function, and lower recurrence rate in elderly patients with severe pneumonia. It provides evidence-based support for integrated traditional Chinese and Western medicine treatment and new insights into the modernization of traditional Chinese medicine in clinical practice.