脑梗死合并肺部感染中医证候要素分布及与感染指标相关性分析OA

Objective This study explores the distribution characteristics of traditional Chinese medicine(TCM)syndrome elements in patients with cerebral infarction complicated by pulmonary infection,providing a certain basis for TCM intervention diagnosis and treatment.By analyzing the correlation between syndrome elements and procalcitonin(PCT),C-reactive protein(CRP),and white blood cell count,the evolution law of TCM syndrome is reflected.Through the comprehensive use of TCM observation,listening,questioning,and cutting,as well as Western medicine laboratory examinations,the patient's condition and pathological changes can be more comprehensively understood,and more accurate diagnosis and treatment can be made.Methods Retrospective method was used to collect 50 patients with cerebral infarction who were treated in ICU of the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine(acupuncture and moxibustion Hospital of Anhui Province)from March 2021 to December 2022 and were combined with pulmonary infection group(observation group),and 60 patients with cerebral infarction who were not combined with pulmonary infection group(control group).Results The main syndromes of patients with cerebral infarction combined with pulmonary infection are distributed among the three traditional Chinese medicine syndrome elements of phlegm dampness,heat,and qi deficiency.When PCT shows abnormal conditions,it is related to the two syndrome elements of phlegm dampness and heat,and when CRP shows abnormal conditions,it is related to the phlegm dampness syndrome element.There is no significant correlation between the syndrome elements and white blood cell count.Conclusion In clinical practice,the TCM syndrome elements of cerebral infarction combined with pulmonary infection are mainly distributed in phlegm dampness,heat,and qi deficiency.There is also a certain correlation between the three syndrome elements of phlegm dampness,heat,and qi deficiency and PCT and CRP.