中医药治疗老年社区获得性肺炎研究进展

文章信息/Info

• Title:中医药治疗老年社区获得性肺炎研究进展

• 卷期:2023年21卷24期

• 作者:朱元俊1，钟恋1，吴佳颖2，林伟刚3*

• 1.贵州省三穗县中医院肺病科，贵州  三穗县 556500；2山东中医药大学第二附属医院职业病科，山东 济南25000；3.山东中医药大学附属医院中医经典科，山东 济南 250014

• Author(s):Zhu Yuanjun1,Zhong Lian1,Wu Jiaying2,Lin Weigang3

• 1. Sansui County Hospital of Traditional Chinese Medicine,San Sui 556500, China;2. Department of Occupational Diseases, Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji Nan 25000, China;3. Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji Nan 250014,China

• 关键词中医药；老年社区获得性肺炎；研究进展

• Keywords:traditional Chinese medicine; community-acquired pneumonia in the elderly; research progress

• 摘要:老年社区获得性肺炎是老年人常见的肺炎类型，具有发病率高、致死率高、临床表现不典型的特点，严重影响老年人寿命，加重社会负担。中医强调顾护正气，扶正祛邪，与西医治疗联合应用，抗感染的同时能够增效减毒、提高免疫力并降低医疗费用。目前中医内、外治法研究均取得一定的进展，内治以益气养阴，清肺化痰解毒为主要治则，外治法包括穴位贴敷、针灸、捏脊等。                                                                                                                                                                                

• Abstract: Community-acquired pneumonia in the elderly is a common type of pneumonia in the elderly. It has the characteristics of high incidence, high mortality, and atypical clinical manifestations. It seriously affects the life span of the elderly and increases the social burden. Traditional Chinese medicine emphasizes protecting righteous qi, strengthening the righteousness and eliminating evils, and combined with western medicine treatment, it can fight infection while increasing efficiency and reducing toxicity, improving immunity and reducing medical expenses. At present, the internal and external treatment methods of traditional Chinese medicine have made certain progress. The main treatment principles of internal treatment are to nourish qi and nourish yin, clear the lungs and resolve phlegm and detoxify, and external treatment methods include acupoint application, acupuncture, chiropractic, etc.

  肺炎是指发生在终末气道、肺泡和肺间质的炎症，可由病原微生物、理化因素、免疫损伤和药物所致[1-2]。老年肺炎指的是65岁以上老年人所患肺炎。老年人由于机体老化，或合并多种慢性严重疾病、营养不良等，导致全身和呼吸道局部的防御和免疫功能降低，发生肺炎的几率较青壮年明显增加。