【目的】观察三焦调气针法治疗卒中后呼吸功能障碍的临床疗效。 【方法】将72例卒中后呼吸功能障碍患者随机分为观 察组和对照组，每组各36例。对照组给予常规治疗，观察组在对照组治疗的基础上，给予三焦调气针法治疗。连续治疗 14 d。治疗2周后，评价2组临床疗效，观察2组患者治疗前后白细胞计数 （WBC） 、C反应蛋白 （CRP） 的变化情况，以及临床 肺部感染评分 （CPIS） 的情况。比较2组患者治疗前后膈肌活动度的变化情况。 【结果】（1） 治疗后，2组患者的WBC、CRP水 平均明显改善 （P＜0.05） ，且观察组在改善WBC、CRP水平方面明显优于对照组，差异有统计学意义 （P＜0.05） 。 （2） 治疗后， 2组患者的CPIS评分明显改善 （P＜0.05） ，且观察组在改善CPIS评分方面明显优于对照组，差异有统计学意义 （P＜0.05） 。 （3） 治疗后，2组患者的膈肌活动度明显改善 （P＜0.05） ，且观察组在改善膈肌活动度方面明显优于对照组，差异有统计学意义 （P＜0.05） 。 （4） 观察组总有效率为91.67% （33/36） ，对照组为75.00% （27/36） 。观察组疗效优于对照组，差异有统计学意义 （P＜ 0.05） 。 【结论】三焦调气针法治疗卒中后呼吸功能障碍，能明显促进患者炎症因子的吸收，改善膈肌活动度，临床疗效显著。 关键词：三焦调气针法；卒中后呼吸功能障碍；炎症因子；膈肌活动度；临床观察

Objective To observe the clinical efficacy of Sanjiao Tiaoqi Acupuncture in the treatment of post-stroke respiratory dysfunction. Methods Seventy-two patients with post-stroke respiratory dysfunction were randomly divided into observation group and control group，36 cases in each group. The control group was given routine treatment，and the observation group was treated with Sanjiao Tiaoqi Acupuncture on the basis of the control group，both groups were treated for 14 consecutive days. After 2 weeks of treatment，the clinical efficacy of the two groups was evaluated，and the changes of white blood cell count （WBC），C-reactive protein （CRP） and clinical pulmonary infection score （CPIS） were observed before and after treatment. The changes of diaphragmatic activity were compared before and after treatment between the two groups. Results （1） After treatment，the WBC and CRP levels of patients in the two groups were significantly improved （P＜0.05），and the observation group was significantly superior to the control group in improving the WBC and CRP levels，with statistically significant differences（P＜0.05） . （2）After treatment， the CPIS scores of patients in the two groups were significantly improved （P＜0.05） ，and the observation group was significantly superior to the control group in improving CPIS scores， with a statistically significant difference（P＜0.05） . （3）After treatment， the diaphragm mobility of patients in the two groups was significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving diaphragm mobility，and the difference was statistically significant （P＜ 0.05） . （4） The total effective rate was 91.67% （33/36） in the observation group and 75.00% （27/36） in the control group. The efficacy of the observation group was superior to that of the control group，and the difference was statistically significant （P＜0.05） . Conclusion Sanjiao Tiaoqi Acupuncture for post-stroke respiratory dysfunction can significantly promote the absorption of inflammatory factors in patients and improve diaphragm mobility，with remarkable clinical efficacy.

R246.9

广东省中医药局中医药科研基金资助项目 （编号：20231033）