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耳穴压豆治疗呼吸机依赖重症患者临床研究 被引量:1

Clinical Study of Auricular Point Pressing Vaccaria in the Treatment of Severe Patients with Ventilator Dependence
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摘要 目的探讨耳穴压豆疗法对呼吸机依赖重症患者氧合指数(PaO2/FiO2)、上腔静脉血氧饱和度(ScvO2)及急性生理学和慢性健康状况评价Ⅱ(APACHEⅡ)的影响。方法选取2015年1月—2019年12月河南中医药大学第一附属医院重症医学科收治的呼吸机依赖重症患者262例,根据有无应用耳穴疗法分为观察组和对照组,每组131例。对照组患者行西医常规治疗,观察组患者在对照组常规治疗基础上加用耳穴压豆治疗。比较2组患者治疗前后PaO2/FiO2、静态肺顺应性(Cst)、ScvO2、APACHEⅡ、机械通气时间及28天病死率。结果治疗后,观察组患者PaO2/FiO2水平显著低于对照组,机械通气时间显著短于对照组(P<0.05)。2组患者Cst、ScvO2、APACHEⅡ、28天病死率比较,差异无统计学意义(P>0.05)。结论耳穴压豆疗法能提高呼吸机依赖重症患者氧合指数,缩短患者机械通气时间。 Objective To investigate the effects of auricular point pressing vaccaria on oxygenation index(PaO2/FiO2),superior vena cava oxyhemoglobin saturation(ScvO2),and acute physiology and chronic health evaluationⅡ(APACHEⅡ)in severe patients with ventilator dependence.Methods From January 2015 to December 2019,two hundred sixty two severe patients with ventilator dependence were selected from the department of intensive medicine,the first affiliated hospital of Henan university of traditional Chinese medicine.According to the application of auricular point pressing vaccaria,the patients were divided into observation group and control group,with 131 cases in each group.The patients in the control group were treated with western medicine routine treatment,while the patients in the observation group were treated with auricular point pressing vaccaria on the basis of routine treatment in the control group.The PaO2/FiO2,static lung compliance(Cst),ScvO2,APACHEⅡ,the time of mechanical ventilation and the mortality of 28 days were compared between the two groups.Results After treatment,the level of PaO2/FiO2 in the observation group was significantly lower than that in the control group,and the time of mechanical ventilation was significantly shorter than that in the control group(P<0.05).There was no significant difference in the Cst,ScvO2,APACHEⅡand the mortality of 28 days between the two groups(P>0.05).Conclusion Auricular point pressing vaccaria could increase the oxygenation index,shorten the time of mechanical ventilation in severe patients with ventilator dependence.
作者 冯博 吴进兵 李正兴 邓洋 毛峥嵘 FENG Bo;WU Jinbing;LI Zhengxing;DENG Yang;MAO Zhengrong(Department of Intensive Medicine,The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China;Department of Digestive Medicine,Xinxian People’s Hospital of Henan Province,Xinyang 465550,China;Department of Imaging,Xinxian People’s Hospital of Henan Province,Xinyang 465550,China;Department of Postpartum Rehabilitation,The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处 《中西医结合研究》 2020年第6期368-370,共3页 Research of Integrated Traditional Chinese and Western Medicine
基金 河南省中医药科学研究专项课题(No.2019ZY2126)。
关键词 耳穴压豆 呼吸机依赖 氧合指数 静态肺顺应性 上腔静脉血氧饱和度 auricular point pressing vaccaria ventilator dependence oxygenation index static lung compliance superior vena cava oxyhemoglobin saturation
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