摘要
目的:观察吴茱萸外敷对Ⅱ型呼吸衰竭机械通气伴腹内高压患者呼吸功能的影响。方法:选择COPD急性加重期伴发Ⅱ型呼吸衰竭,行有创呼吸机辅助通气并伴发腹内压的患者42例,随机分为对照组和吴茱萸组各21例。两组均予抗感染、营养支持、解痉平喘药物、化痰药物、抗炎及血管活性药物等,吴茱萸组给予吴茱萸外热敷神阙穴。观察两组呼吸机参数、血气分析结果以及腹内压、机械通气时间、APACHE评分。结果:吴茱萸组患者的气道峰压和呼吸频率较对照组下降(分别为P=0.00和P=0.01),而气道平均压和潮气量组间差别不显著(分别为P=0.89和P=0.51)。两组血氧分压差别不显著(P=0.49),而吴茱萸组pH值较对照组高,血二氧化碳分压较对照组降低(分别为P=0.02和P=0.00)。吴茱萸组的腹内压、APACHE评分及机械通气时间均低于对照组(分别为P=0.01,P=0.01和P=0.01)。结论:吴茱萸外敷神阙穴能够改善Ⅱ型呼吸衰竭机械通气伴腹内高压患者的呼吸功能,降低腹内压。
Objective：To investigate the influence of Fruit Evodia on respiratory function in type Ⅱrespiratory failure patients undergo mechanical ventilation with intra-abdominal hypertension. Methods：42 type Ⅱ respiratory failure patients undergo mechanical ventilation with intra-abdominal were randomly divided into Fruit Evodia group and control group,21 patients in each group. All patients were treated with anti-septic,nutritional support,spasmolysis and antiasthmatic,apophlegmatisant,anti-inflammation,and vasoactive agent,etc. Patients in Fruit Evodia group were treated with EF fomentation on Shenjue acupoint （navel）. Ventilation parameter,blood gas analysis,IAP,total ventilation time,and APACHE score were investigated. Results：Airway peak pressure,respiratory rate and PCO2 in Fruit Evodia group were lower than control group,pH in Fruit Evodia group were higher than control group,airway mean pressure,tidal volume and PO2 were not significantly different between two groups. IAP,total ventilation time,and APACHE score were decreased in Fruit Evodia group,compared to control group. Conclusion：Fruit Evodia fomentation on Shenjue acupoint could decrease IAP and improve respiratory function in type Ⅱrespiratory failure patients undergo mechanical ventilation with intra-abdominal hypertension.
出处
《护理实践与研究》
2010年第16期1-3,共3页
Nursing Practice and Research
关键词
吴茱萸
热敷
机械通气
腹内高压
Fruit Evodia
Fomentation
Mechanical ventilation
Intra-abdominal hypertension
