摘要
目的观察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并探讨其作用机制。方法70例患者按随机数字表法分为治疗组与对照组各35例。两组均予以西医常规治疗,治疗组在西医常规治疗基础上加用健脾益肺补肾针刺疗法,观察治疗24、36、48 h膈肌收缩运动功能的变化。结果两组治疗24 h测得患者膈肌吸气末厚度(TDI-ei)与呼气末厚度(TDI-ee)及膈肌增厚分数(TFdi)差别不大(均P>0.05)。对照组在治疗后36、48 h测得患者TDI-ei及TDI-ee厚度与治疗前比较变薄,萎缩,活动能力下降(均P<0.05)。治疗组在治疗后36、48 h测得TDI-ei TDI-ee及TFdi减少速度慢于对照组(均P<0.05)。治疗组治疗36、48 h TDI-ei TDI-ee及TFdi改善优于对照组(P<0.05)。治疗组脱机成功率高于对照组(P<0.05)。结论健脾益肺补肾针刺疗法明显提高了患者膈肌收缩能力,改善膈肌功能,提高了脱机成功率。
Objective:To explore the effect of acupuncture therapy of invigorating the spleen,benefiting lung and nourishing kidney on diaphragm function in patients with acute respiratory failure and mechanical ventilation.Methods:A total of 70 patients with acute respiratory failure were randomly divided into treatment group and con⁃trol group,35 cases in each group.Both groups were treated with conventional western medicine.The treatment group was treated with acupuncture therapy of invigorating spleen,benefiting lung and nourishing kidney on the ba⁃sis of western medicine.The changes of diaphragm contraction movement were observed in 24,36 and 48 hours af⁃ter treatment.Results:There was little difference between the end-inspiratory and end-respiratory thickness and the score of diaphragm thickening between the two groups after 24 hours of treatment(all P>0.05).In the control group,the thickness of TDI-ei and TDI-ee measured at 36 h and 48 h after treatment were thinner,more atro⁃phied,and their activity decreased more compared with before treatment(all P<0.05).The decrease rates of TDIei,TDI-ee and TFdi measured at 36 h and 48 h after treatment in the treatment group were slower than those in the control group(all P<0.05).The improvement of TDI-ei,TDI-ee and Tfdi in the treatment group at 36 h and 48 h was better than that of the control group(P<0.05).Comparing the control group,the weaning success rate of the treatment group was higher(P<0.05).Conclusion:The acupuncture therapy of invigorating the spleen,bene⁃fiting lung and nourishing kidney can increase the contractile force of diaphragm,improve the function of dia⁃phragm and increase the success rate of weaning.
作者
孙宗发
毛韶华
王晓春
Sun Zongfa;Mao Shaohua;Wang Xiaochun(The Second Affiliated Hospital of Anhui University of Traditional Chinese Medi-cine,Anhui,Hefei 230036,China)
出处
《中国中医急症》
2020年第12期2193-2195,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
安徽中医药大学青年科学研究基金项目(2016qn024)。
关键词
急性呼吸衰竭
健脾益肺补肾针刺疗法
膈肌功能
Acute respiratory failure
Acupuncture therapy of invigorating the spleen,benefiting lung and nour⁃ishing kidney
Diaphragm function
