【摘要】 目的 观察三焦调气针法治疗卒中后呼吸功能障碍（SRD）临床疗效。方法 将我院80例SRD患者随机分为对照组与观察组各40例。对照组采用康复训练治疗，观察组采用三焦调气针法联合肺康复训练。比较两组临床疗效，1 s用力呼气容积（FEV1）、用力肺活量（FVC）、峰值呼气流量（PEF）、最大自主通气量（MVV），膈肌厚度、平静呼吸和深呼吸膈肌活动度，血氧分压（PaO₂）、二氧化碳分压（PaCO₂）、氧合指数（PaO₂/Fi O₂），白细胞计数（WBC）、C反应蛋白（CRP）。结果 治疗后，观察组总有效率高于对照（<0.05）；两组FEV1、FVC、PEF、MVV高于治疗前，观察组上述指标高于对照组（<0.05）；两组平静呼吸和深呼吸膈肌活动度高于治疗前，观察组上述指标高于对照组（<0.05），两组膈肌厚度差异无统计学意义（>0.05）；两组PaO₂、PaO₂/FiO₂高于治疗前，PaCO₂、WBC、CRP低于治疗前，观察组上述指标的改善程度均优于对照组（<0.05）。结论 三焦调气针法提高治疗SRD临床疗效，改善患者肺功能，降低肺部感染程度。更多还原

【Abstract】 Objective To observe the efficacy of Sanjiao acupuncture in treatment of respiratory dysfunction（SRD）after stroke. Methods A total of 80 cases of SRD were randomly divided into control group and observation group with 40 cases in each group. Control group was given rehabilitation training, and observation group was treated with Sanjiao acupuncture combined with pulmonary rehabilitation training. The efficacy, 1 s forced expiratory volume（FEV1）, forced vital capacity（FVC）, peak expiratory flow（PEF）, maximum spontaneous ventilation（MVV）, diaphragm thickness, diaphragmatic mobility of calm breathing and deep breathing, partial pressure of oxygen（PaO₂）, partial pressure of carbon dioxide（PaCO₂）, oxygenation index（PaO₂/FiO₂）, white blood cell count（WBC）, and C-reactive protein（CRP）of the two groups were compared. Results After treatment, the total effective rate of observation group was higher than that of control group（ <0.05）; FEV1, FVC,PEF, and MVV in both groups were higher than those before treatment, and those in observation group were higher than those in control group（ <0.05）; the diaphragmatic mobility of calm breathing and deep breathing in both groups was higher than that before treatment, and those in observation group were higher than those in control group（ <0.05）, and there was no significant difference in diaphragm thickness between the two groups（ >0.05）; PaO₂ and PaO₂/FiO₂ in both groups were higher than those before treatment, while PaCO₂, WBC, and CRP were lower, and the above indicators were superior in observation group to those in control group（ <0.05）. Conclusion Sanjiao acupuncture can improve the efficacy of SRD, improve lung function, and reduce the degree of pulmonary infection.更多还原