摘要
目的 探讨三穴五针联合肺康复训练对脑卒中患者肺部感染后肺功能影响。方法 选择2020年1月-2022年1月68例脑卒中后肺部感染患者作为研究对象,采用随机数字法平均分为观察组与对照组,在常规治疗基础上,对照组34例给予主动呼吸循环技术+呼吸训练器训练,观察组34例给予“三穴五针”疗法+呼吸训练器训练。比较两组临床疗效,于治疗前、治疗后2、4周比较血气分析,于治疗前、治疗后4周比较两组肺功能。结果 观察组治愈率及总有效率高于对照组(P<0.05)。观察组治疗后2、4周动脉血氧分压(arterial partial pressure of oxygen, PaO_(2))及pH值,逐渐升高(P<0.05),PaCO_(2)逐渐降低(P<0.05);对照组治疗后4周PaO_(2)及pH值逐渐升高(P<0.05),动脉二氧化碳分压(partial pressure of carbon dioxide, PaCO_(2))逐渐降低(P<0.05);治疗后4周观察组PaO2及pH值均高于对照组(P<0.05),PaCO_(2)低于对照组(P<0.05)。治疗后两组第1秒肺呼气容积(Forced expiratory volume in one second, FEV1)、第1秒肺呼气容积/用力肺活量(Forced expiratory volume in one second/Forced vital capacity, FEV1/FVC)、呼气峰流速(Peak expiratory flow, PEF)、深吸气量(Inspiratory capacity, IC)、最大自主通气量(maximal voluntary ventilation, MVV)均高于治疗前(P<0.05),RV/TLC低于治疗前(P<0.05);治疗后观察组FEV1、FEV1/FVC、PEF、IC、MVV均高于对照组(P<0.05),RV/TLC低于对照组(P<0.05)。结论 三穴五针联合肺康复训练可以更好促进脑卒中患者肺部感染后肺通气功能恢复,改善血气分析结果,有更高的临床治愈率及总有效率,值得临床应用。
Objective To investigate that effect of three-acupoint and five-needle therapy combined with lung rehabilitation training on lung function of patients with stroke after pulmonary infection.Methods A total of 68 patients with post-stroke pulmonary infection from January 2020 to January 2022 were selected as the research subjects,and they were equally divided into the observation group and the control group using the random number method.On the basis of conventional treatment,34 cases in the control group were given active respiratory cycle technique+respiratory trainer training,and the other 34 cases in the observation group were given three-acupoint and five-needle therapy and respiratory trainer training.The clinical effects of the two groups were compared.The blood gas analysis was compared before treatment,2 and 4 weeks after treatment.The lung function of the two groups was compared before treatment and 4 weeks after treatment.Results The curative rate and the total effective rate in the observation group were higher than those in the control group(P<0.05).In the observation group,the values of arterial partial pressure of oxygen(PaO_(2))and pH gradually increased 2 and 4 weeks after treatment(P<0.05),while the values of partial pressure of carbon dioxide(PaCO_(2))gradually decreased(P<0.05).In the control group,the values of PaO_(2) and pH gradually increased and the value of PaCO_(2) gradually decreased 4 weeks after treatment(P<0.05).4 weeks after treatment,the values of PaO_(2) and pH in the observation group were higher than those in the control group(P<0.05),and the value of PaCO_(2)was lower than that in the control group(P<0.05).After treatment,the levels of forced expiratory volume in one second(FEV1),FEV1/forced vital capacity(FVC),peak expiratory flow(PEF),inspiratory capacity(IC)and maximal voluntary ventilation(MVV)of the two groups were higher than those before treatment(P<0.05),and the ratio of residual volume/total lung capacity(RV/TLC)was lower than that before treatment(P<0.05).After treatme
作者
杨宁
李晓兵
侯丽敏
寇洋洋
祝豫
杜振峰
李彤
孙晓东
闫冬艳
许曼曼
YANG Ning;LI Xiaobing;HOU Limin;KOU Yangyang;ZHU Yu;DU Zhenfeng;LI Tong;SUN Xiaodong;YAN Dongyan;XU Manman(The Fifth Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou Peoples Hospital,Zhengzhou 450003,Henan,China)
出处
《中华中医药学刊》
CAS
北大核心
2023年第8期222-225,共4页
Chinese Archives of Traditional Chinese Medicine
基金
河南省中医药科学研究专项(20-21ZY2281)
河南省医学科技攻关计划联合共建项目(LHGJ20200692)。
关键词
三穴五针
肺康复训练
脑卒中
肺部感染
肺功能
three-acupoint and five-needle
lung rehabilitation training
stroke
pulmonary infection
lung function
