Full
Outline
To study the effect of dispersing lung and descending Qi acupuncture combined with Ditan Decoction（涤痰汤）on lung function in patients complicating pulmonary infection during the recovery period of ischemic stroke.
Eighty patients complicating pulmonary infection during recovery period of ischemic stroke admitted to the hospital from July 2022 to July 2023 were enrolled，and assigned into two groups using random number table method，each with 40 cases. The control group received conventional Western medicine and dispersing lung and descending Qi acupuncture. Based on this，the observation group added Ditan Decoction. Then the outcome criteria were compared between two groups，including clinical efficacy，clinical pulmonary infection score（CPIS），forced expiratory volume in the first second（FEV1），maximum voluntary ventilation（MVV），peak expiratory flow（PEF），forced vital capacity（FVC），alveolar partial pressure of oxygen（PaO2），potential of hydrogen（pH），partial pressure of carbon dioxide in artery（PaCO2），cough score，sputum score，fatigue severity scale（FSS）score and incidence of adverse reactions.
No statistical difference was reported between two groups in CPIS，cough score，sputum score，FSS，PaO2，pH，PaCO2，FEV1，MVV，FVC or PEF（P>0.05）. After treatment，the overall efficacy rate was 97.50%（39/40）in the observation group，which was higher than 85.00%（34/40）in the control group（P<0.05）. After 2 and 4 of treatment，CPIS，cough，sputum and FSSscores showed a reduction in both groups（P<0.05），and the reduction was more notable in the observation group than that in the control group（P<0.05）. After 2 and 4 weeks of treatment，an increase in PaO2 as well as a decrease in PaCO2 and pH were observed in two groups（P<0.05），and both improvements were more remarkable in the observation group than those in the control group（P<0.05）. An elevation in FEV1，MVV，PEFand FVCwas measured in both groups after 2 and 4 weeks of treatment，and the elevation was more significant in the observation group than that in the control group（P<0.05）. The adverse reaction rate was 7.50%（3/40）in the observation group，which was slightly lower than 10.00%（4/40）in the control group，with no statistical difference（P>0.05）.
Application of dispersing lung and descending Qi acupuncture combined with Ditan Decoction on lung function in patients complicating pulmonary infection during the recovery period of ischemic stroke can effectively ameliorate the clinical symptoms，and has a good safety profile.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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