CAJ | 학술논문

目的：观察氦氖激光对重症肺炎患者的肺保护作用。方法将120例急性重症肺炎患者分为基础治疗组和氦氖激光组各60例。基础治疗组进行常规治疗，氦氖激光组在进行基础治疗的基础上加用氦氖激光辅助治疗，比较两组患者的临床疗效，治疗前、治疗后第10天体温（T）、血白细胞（WBC）、氧合指数（PaO2／FiO2）、临床肺部感染评分（ CPIS）等。结果基础治疗组T、WBC、PaO2／FiO2、CPIS改善情况明显优于对照组（ P＜0.05）；两组总有效率分别为81.67％、91.67％，差异有统计学意义（ P＜0.05）。结论氦氖激光仪辅助治疗重症肺炎患者，可有效减轻患者病情，改善各项炎症指标及氧合指数。
목적：관찰양내격광대중증폐염환자적폐보호작용。방법장120례급성중증폐염환자분위기출치료조화양내격광조각60례。기출치료조진행상규치료，양내격광조재진행기출치료적기출상가용양내격광보조치료，비교량조환자적림상료효，치료전、치료후제10천체온（T）、혈백세포（WBC）、양합지수（PaO2／FiO2）、림상폐부감염평분（ CPIS）등。결과기출치료조T、WBC、PaO2／FiO2、CPIS개선정황명현우우대조조（ P＜0.05）；량조총유효솔분별위81.67％、91.67％，차이유통계학의의（ P＜0.05）。결론양내격광의보조치료중증폐염환자，가유효감경환자병정，개선각항염증지표급양합지수。
Objective To study the lung protection of He-Ne laser chest physiotherapy in the patients with se-vere pneumonia.Methods 120 acute severe pneumonia patients were divided into routine treatment group and He-Ne laser group.Patients in the routine treatment group were treated with the basis of conventional treatment, and in the He-Ne laser group on the basis of conventional therapy were added He-Ne laser assisted treatment.Clinical effect, tem-perature, serum white blood cells, oxygenation index ( PaO2/FiO2 ) , CPIS score of before and the 10th day after treat-ment between the two groups were observed.Results The changs of temperature, serum white blood cells, oxygenation index ( PaO2/FiO2 ) , CPIS score in He-Ne laser group were significantly better than those of the routine treatment group (P<0.05).The total effective rate of the two groups were 81.67%and 91.67%, there was significant difference (P<0.05) .Conclusions He-Ne laser could effectively alleviate the severe pneumonia, improve the inflammatory reac-tion, oxygenation index of patients with severe pneumonia.