针刺背俞穴联合呼吸训练对脑卒中气切术后患者肺部感染的影响

Effect of acupuncture at Back-Shu points combined with respiratory training on pulmonary infection in post-stroke patients after tracheotomy

目的:观察针刺背俞穴联合呼吸训练对脑卒中气切术后患者肺部感染的影响。方法:将60例卒中后气切合并肺部感染患者随机分为对照组和观察组,每组各30例。对照组接受基础治疗及呼吸训练,观察组在此基础上加用针刺背俞穴治疗。观察记录2组治疗前后的用力肺活量(FVC)、每分钟最大通气量(MVV)、呼气峰流速(PEF)、最大吸气压力(MIP)、最大呼气压(MEP)、C反应蛋白(CRP)、白细胞(WBC)计数和临床肺部感染评分(CPIS)。结果:治疗2周后,2组患者FVC、MVV、PEF均较治疗前有所提高(均P<0.05),且观察组均高于对照组(均P<0.05)。治疗后,2组患者MIP、MEP均高于治疗前(均P<0.05),且观察组均高于对照组(均P<0.05)。治疗后,2组CRP、WBC计数、CPIS评分均较治疗前下降(均P<0.05),且观察组均低于对照组(均P<0.05)。结论:针刺背俞穴联合呼吸训练可改善脑卒中气切术后患者的肺功能,增强呼吸肌肌力,进一步改善肺部感染情况。

Objective: To observe the effect of acupuncture at Back-Shu points combined with respiratory training on the pulmonary infection of patients undertaking tracheotomy after stoke. Methods: Sixty post- stroke patients with pulmonary infection following tracheotomy were randomly divided into observation group and control group, 30 in each group. The control group and treatment group were treated with conventional treatments and breathing training, and the treatment group was additionally intervened by acupuncturing at Back-Shu points. Before and after the intervention, forced vital capacity (FVC), maximum voluntary ventilation (MVV), peak expiratory flow (PEF), maximal inspiratory pressure (MIP), maximal expiatory pressure (MEP), C-reactive protein (CRP), white blood cell count (WBC) and clinical pulmonary infection score (CPIS) were observed and analyzed in the two groups. Results: After two weeks of intervention, FVC, MVV, PEF, MIP, MEP, CRP, WBC and CPIS in two groups had significant change ( P < 0.05 ), and the above indexes in the experimental group were significantly improved as compared with those in the control group ( P < 0.05 ). Conclusion: Acupuncture at Back-Shu points combined with respiratory training can improve lung function, strengthen respiratory muscle strength and alleviate the pulmonary infection in post-stroke patients after tracheotomy.