中药穴位贴敷治疗无创正压通气相关性腹胀的临床效果

Clinical Effect of Acupoint Application of Traditional Chinese Medicine in Treating Abdominal Distension Associated with Non-invasive Positive Pressure Ventilation

目的:探究中药穴位贴敷治疗无创正压通气(NPPV)相关性腹胀的临床疗效,并观察其对患者血气分析指标的影响。方法:选取眉山市中医医院2019年11月至2020年11月收治的NPPV合并相关性腹胀患者106例为研究对象,随机数字表法分为观察组(53例)及对照组(53例),对照组患者实施常规治疗方案,观察组患者在对照组基础上实施中药穴位贴敷治疗。观察两组患者的总有效率、上机不同时间段腹胀发生率及治疗前后的动脉血氢离子浓度指数(pH)、动脉血氧分压(PaO_(2))和动脉血二氧化碳分压(PaCO_(2))。结果:观察组患者的治疗总有效率为96.23%,显著高于对照组的81.13%,差异具有统计学意义(P<0.05);治疗后,两组患者的PaO_(2)较治疗前显著增高,pH、PaCO_(2)显著下降,且观察组PaO_(2)指标高于对照组,pH、PaCO_(2)低于对照组,差异具有统计学意义(P<0.05);观察组患者上机后24 h、48 h、72 h腹胀发生率分别为11.32%、5.66%、3.77%,均低于对照组的26.42%、20.75%、15.09%,差异具有统计学意义(P<0.05)。结论:中药穴位贴敷治疗NPPV合并腹胀疗效理想,可显著改善患者的血气分析指标,且随着上机时间的延长,腹胀发生率呈显著下降趋势。

Objective To explore the clinical efficacy of acupoint application of traditional Chinese medicine in the treatment of patients with non-invasive positive pressure ventilation(NPPV)related abdominal distension,and observe its influence on blood gas analysis indexes of patients.Methods Patients with NPPV associated abdominal distension admitted to our hospital from November 2019 to November 2020(n=106 cases)were selected as the research objects,and the selected patients were divided into traditional Chinese medicine group and conventional group(n=53 cases in each group)according to random number table method.Patients in the control group received conventional treatment,and patients in the observation group received acupoint application of Chinese medicine on the basis of the control group.Observe the total effective rate of the two groups of patients,the incidence of abdominal distension during different periods of time on the computer,and the arterial hydrogen ion concentration index(pH),arterial partial pressure of oxygen(PaO_(2))and arterial partial pressure of carbon dioxide(PaCO_(2))before and after treatment.Results Compared with the control group(81.13%),the total effective rate of TCM group was 96.23%,and there was statistical significance between the two groups(P<0.05).Before treatment,there was no statistical significance in pH,PaO_(2)and PaCO_(2)between the two groups(P>0.05).After treatment,PaO_(2)in 2 groups showed a significantly increased trend,pH and PaCO_(2)in 2 groups showed a significantly decreased trend compared with before treatment,and the above indexes in the Chinese medicine group were better than the reference group,with statistical significance(P<0.05).Compared with 26.42%,20.75 and 15.09%in the reference group,the incidence of abdominal distension in the TCM group at 24h,48h and 72h was 11.32%,5.66%and 3.77%,respectively,and there was statistical significance in the incidence of abdominal distension between the two groups at different time periods(P<0.05).Conclusions Acupoint application of traditional Chinese medicine has ideal efficacy in the treatment of NPPV complicated with abdominal distension,which can significantly improve the blood gas analysis indexes of patients,and with the extension of time on the machine,the incidence of abdominal distension shows a significant trend of decline,safe and effective.