[1]韩 毅,杜永芳,邢 冉,等.健脾益肺补肾针刺疗法联合经皮神经肌肉电刺激治疗对机械通气患者肺功能的影响[J].陕西中医,2023,(4):512-515.[doi:DOI:10.3969/j.issn.1000-7369.2023.04.024]
　HAN Yi,DU Yongfang,XING Ran,et al.Effect of Jianpi Yifei Bushen acupuncture combined with percutaneous neuromuscular electrical stimulation therapy on lung function in patients with mechanical ventilation[J].,2023,(4):512-515.[doi:DOI:10.3969/j.issn.1000-7369.2023.04.024]
点击复制

健脾益肺补肾针刺疗法联合经皮神经肌肉电刺激治疗对机械通气患者肺功能的影响
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年4期
页码:
512-515
栏目:
针灸经络
出版日期:
2023-04-05

文章信息/Info

Title:
Effect of Jianpi Yifei Bushen acupuncture combined with percutaneous neuromuscular electrical stimulation therapy on lung function in patients with mechanical ventilation
作者:
韩 毅; 杜永芳; 邢 冉; 张志平
(石家庄市中医院,河北 石家庄 050051)
Author(s):
HAN Yi; DU Yongfang; XING Ran; ZHANG Zhiping
(Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang 050051,China)
关键词:
机械通气;  肺部感染;  健脾益肺补肾针刺疗法;  经皮神经肌肉电刺激治疗仪;  免疫功能;  肺功能
Keywords:
Mechanical ventilation;  Pulmonary infection;  Jianpi Yifei Bushen acupuncture therapy;  Percutaneous nerve muscle electrical stimulation instrument;  Immune function;  Lung function
分类号:
R 563
DOI:
DOI:10.3969/j.issn.1000-7369.2023.04.024
文献标志码:
A
摘要:
目的:分析健脾益肺补肾针刺疗法联合经皮神经肌肉电刺激治疗对机械通气患者的影响。方法:选取130例机械通气患者作为研究对象,采用随机数字表法将其分为对照组62例、观察组68例。共有对照组57例、观察组61例患者完成治疗。对照组采用经皮神经肌肉电刺激治疗仪治疗,观察组在对照组基础上予健脾益肺补肾针刺疗法。比较两组患者肺部感染评分、急性生理与慢性健康(APACHE Ⅱ)评分、营养指标、免疫功能指标、肺功能指标、并发症发生情况。结果:治疗后,与对照组相比,观察组肺部感染评分、APACHE Ⅱ评分降低(P<0.05),前白蛋白(PA)、白蛋白(ALB)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)、第1秒用力呼气容积(FEV1)、第1秒用力呼气容积/用力肺活量(FEV1/FVC)、呼气流量峰值(PEF)、残气量/肺总量比值(RV/TLC)、最大通气量(MVV)水平均升高(P<0.05); 观察组并发症总发生率低于对照组(P<0.05)。结论:健脾益肺补肾针刺疗法联合经皮神经肌肉电刺激治疗仪治疗干预机械通气患者,可提高肺功能,改善营养状况以及免疫功能,临床疗效理想。
Abstract:
Objective:The effect of Jianpi Yifei Bushen acupuncture therapy combined with percutaneous neuromuscular electrical stimulation instrument in mechanically ventilated patients was analyzed.Methods:A total of 130 patients with mechanical ventilation were selected as research objects,and they were divided into control group(62 cases)and observation group(68 cases)by random number table method.A total of 57 patients in the control group and 61 patients in the observation group completed the treatment.The control group was treated with percutaneous neuromuscular electrical stimulation therapy instrument,the observation group was given the acupuncture therapy of Jianpi Yifei Bushen on the basis of control group.The pulmonary infection score,acute physiological and chronic health(APACHE Ⅱ)score,nutritional index level,immune function index level,lung function index level,the incidence of complications were compared between the two groups.Results:After treatment,the pulmonary infection score and APACHE Ⅱ score in the observation group were decreased compared with the control group(P<0.05).Prealbumin(PA),albumin(ALB),immunoglobulin A(IgA),immunoglobulin G(IgG),immunoglobulin M(IgM),forced expiratory volume in the first second(FEV1),forced expiratory volume in the first second/forced vital capacity(FEV1/FVC),peak expiratory flow(PEF),ratio of residual volume to total lung volume(RV/TLC),maximum gas volume(MVV)levels were increased(P<0.05).The total complication rate of observation group was higher than that of control group(P<0.05).Conclusion:Jianpi Yifei Bushen acupuncture therapy combined with percutaneous neuromuscular electrical stimulation therapy instrument in the treatment of patients with mechanical ventilation can improve lung function,nutritional status and immune function,with ideal clinical efficacy.

参考文献/References:

[1] Lentz S,Roginski MA,Montrief T,et al.Initial emergency department mechanical ventilation strategies for COVID-19 hypoxemic respiratory failure and ARDS[J].Am J Emerg Med,2020,38(10):2194-2202.
[2] Bertoni M,Spadaro S,Goligher EC.Monitoring patient respiratory effort during mechanical ventilation:Lung and diaphragm-protective ventilation[J].Crit Care,2020,24(1):106-126.
[3] 王雅宁,米 婷,周 红.不同通气模式治疗慢性阻塞性肺疾病合并呼吸衰竭临床疗效及患者呼吸动力学、肺功能水平比较[J].陕西医学杂志,2023,52(1):36-39,44.
[4] 邓小娟,皮 群,宋 麟.经皮神经肌肉电刺激治疗仪联合早期被动活动对机械通气患者ICU获得性肌无力的预防效果[J].医疗装备,2021,34(13):179-180.
[5] 孙宗发,毛韶华,王晓春.健脾益肺补肾针刺疗法对急性呼吸衰竭机械通气患者膈肌功能的影响[J].中国中医急症,2020,29(12):2193-2195.
[6] 中华医学会重症医学分会.机械通气临床应用指南(2006)[J].中国危重病急救医学,2007,19(2):65-72.
[7] 寇妍妍,李 倩.中性粒细胞弹性蛋白酶对呼吸机相关性肺炎诊断、转归评估价值研究[J].中国现代药物应用,2021,15(18):84-86.
[8] 田 竟,张 杨,张红梅,等.焦点解决模式对EICU脓毒症患者床旁连续肾脏替代疗法治疗过程中APACHEⅡ评分及机械通气时间的影响[J].临床医学研究与实践,2020,5(14):155-157.
[9] 舒 攀,张 莉,侯云秋,等.逐瘀通脉消栓方预防慢性阻塞性肺疾病急性加重期机械通气患者下肢深静脉血栓临床研究[J].陕西中医,2021,42(9):1204-1207.
[10] 邬爱红,黄淑琴.有创机械通气治疗对重症急性左心衰竭患者呼吸及循环功能的影响[J].医疗装备,2022,35(8):63-65.
[11] 孙盛先.慢阻肺并Ⅱ型呼吸衰竭患者经有创-无创序贯机械通气治疗的临床效果[J].系统医学,2022,7(5):87-90.
[12] 黄培永.早期俯卧位机械通气在重度ARDS临床治疗中的应用价值分析[J].系统医学,2022,7(16):85-88.
[13] 薛金伟,陈汉声,王华伟,等.经皮神经肌肉电刺激促进肘管综合征术后尺神经恢复的研究[J].中国实验诊断学,2021,25(3):351-353.
[14] 孙 旗,丁纯蕾,沈梦雯,等.针刺治疗对机械通气撤机的影响及临床应用现状[J].国际中医中药杂志,2022,44(10):1188-1191.
[15] 邢 越,孔令丽,李 樱,等.针刺五脏俞联合涌泉穴艾灸对脑卒中失眠患者血清5-HT、多巴胺水平的影响[J].陕西中医,2021,42(12):1773-1775,1782.
[16] 吕春燕,陈东华.针刺对呼吸衰竭患者机械通气期间人机对抗的临床应用价值[J].上海针灸杂志,2020,39(10):1240-1244.
[17] 吴玲玲,郭红云.参麦注射液联合针刺干预COPD合并呼吸衰竭机械通气撤机困难的疗效及对膈肌功能、NT-proBNP和hs-CRP的影响[J].现代中西医结合杂志,2019,28(29):3233-3238,3268.
[18] 刘艳杰,丁殿帅,李 静.反复呼吸道感染儿童维生素A缺乏状况与炎症因子、免疫功能指标相关性分析[J].陕西医学杂志,2021,50(7):858-860.
[19] 赵苗苗,魏敬芝,张 昆.纤维胶凝蛋白3在反复上呼吸道感染患儿血清中的表达及意义[J].陕西医学杂志,2022,51(6):733-736.
[20] 白 龙,姬妍娜,刘改娥.无创机械通气联合沙丁胺醇雾化吸入对老年COPD患者氧代谢、肺功能及血气指标的影响[J].海南医学,2022,33(16):2068-2071.
[21] 廖莲清,刘爱群,梅永华,等.肠内营养耐受处理SOP对重症病房机械通气患者营养指标及并发症的影响[J].吉林医学,2021,42(7):1766-1768.
[22] 侯会娜,刘文先,夏燕敏.营养风险筛查2002评分和血清白蛋白水平对慢性阻塞性肺疾病合并呼吸衰竭患者预后的评估价值[J].安徽医学,2021,42(11):1276-1280.
[23] 陈 晖,纪 健,钱素云.机械通气危重症患儿静息能量消耗与营养评估指标相关性分析[J].中华实用儿科临床杂志,2021,36(1):42-45.

相似文献/References:

[1]林燕林,张星星,高志凌,等.清热化痰法联合亚胺培南-西司他丁钠对重症肺部感染患者IL-6、TNF-α水平的影响*[J].陕西中医,2020,(7):891.[doi:DOI:10.3969/j.issn.10007369.2020.07.015]
　LIN Yanlin,ZHANG Xingxing,GAO Zhiling,et al.Effect of clearing heat and removing phlegm combined with imipenem-cilastatin sodium on the levels of IL-6,TNF-α in patients with severe pulmonary infection[J].,2020,(4):891.[doi:DOI:10.3969/j.issn.10007369.2020.07.015]

备注/Memo

备注/Memo:
基金项目:河北省中医药管理局科研计划项目(2022175)
更新日期/Last Update: 2023-04-10