摘要
目的观察经皮穴位电刺激结合早期活动对ICU机械通气患者呼吸功能的干预效果。方法采用随机数字表法将2021年6月-2022年6月我院ICU收治的新入院、首次给予机械通气,且符合纳排标准的患者97例随机分为对照组和观察组。对照组给予ICU常规护理,并实施早期活动。观察组在ICU常规护理的基础上选取双侧足三里穴、肾俞穴及肺俞穴,实施经皮穴位电刺激配合早期活动。比较两组干预前后医学研究委员评分(MRC肌力评分)、最大吸气压(MIP)、潮气量(VT)、气道阻力、肺动态顺应性、pH、动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))、HCO_(3)^(-)、血氧饱和度(SpO_(2))、呼吸频率(RR),以及ICU获得性衰弱发生率。结果观察组干预后MRC肌力评分、MIP、肺动态顺应性、HCO_(3)^(-)优于对照组,ICU获得性衰弱发生率低于对照组(P<0.05)。结论经皮穴位电刺激结合早期活动可降低机械通气患者气道阻力,提高患者呼吸肌肌力和肺动态顺应性,改善呼吸功能;可提高患者四肢肢体肌力,改善患者身体功能状态,减少ICU获得性衰弱发生率。
Objective To observe the intervention effect of transcutaneous electrical acupoint stimulation combined with early mobilization on respiratory function of patients with mechanical ventilation in ICU.Methods From June 2021 to June 2022,a total of 97 patients who were mechanically ventilated for the first time and met the inclusion criteria that newly admitted to the ICU of our hospital were selected as the research objects.The random number table method were used for dividing groups,the control group was given by ICU routine nursing and early mobilization.On the basis of routine nursing and early mobilization in ICU,the observation group was given by transcutaneous acupoint electrical stimulation at bilateral Zusanli acupoints,Shenshu acupoints,and Feishu acupoints.The Medical Research Council score(MRC muscle strength score),maximum inspiratory pressure(MIP),tidal volume(VT),airway resistance,lung dynamic compliance,pH,arterial carbon dioxide partial pressure(PaCO_(2)),arterial oxygen partial pressure(PaO_(2)),HCO_(3)^(-),blood oxygen saturation(SpO_(2)),respiratory rate(RR),and the incidence of ICU-acquired weakness were compared before and after the intervention in both groups.Results The observation group have better MRC muscle strength score,MIP,pulmonary dynamic compliance and HCO_(3)^(-)and lower incidence of ICU acquired weakness than thoes in the control group after intervention(P<0.05).Conclusion Transcutaneous acupoint electrical stimulation combined with early mobilization can reduce airway resistance in mechanically ventilated patients,improve respiratory muscle strength and lung dynamic compliance,and improve respiratory function.It can also improve limb muscle strength,improve patients'physical functional status,and reduce the incidence of ICU-acquired weakness.
作者
魏魁英
卢俏俐
胡培亚
WEI Kui-ying;LU Qiao-li;HU Pei-ya(Intensive Care Unit,the First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Hospital of Chinese Medicine,Hangzhou 310018,Zhejiang,China)
出处
《医学信息》
2024年第4期147-151,共5页
Journal of Medical Information
基金
浙江省中医药科技计划项目(编号:2023ZL402)。
关键词
经皮穴位电刺激
早期活动
机械通气
ICU
呼吸功能
Transcutaneous acupoint electrical stimulation
Early mobilization
Mechanical ventilation
ICU
Respiratory function
