子午流注择时大黄芒硝穴位贴敷在无创通气相关性腹胀中的应用效果

Application effect of Rhubarb and Glauber′s salt acupoint application of midnight-noon ebb-flow at selected time in non-invasive ventilation-related abdominal distension

目的探讨辰时(7:00~9:00)大黄芒硝穴位贴敷缓解无创通气相关性腹胀的应用效果。方法选择2020年3月至2021年3月句容市人民医院呼吸科收治的75例慢性阻塞性肺疾病(COPD)使用无创通气伴腹胀的患者作为研究对象,采用随机数字表法分为对照组(37例)和观察组(38例),两组患者均在常规护理基础上进行大黄芒硝穴位贴敷,对照组穴位贴敷时间为住院期间任一时段,避开辰时(7:00~9:00),观察组选择辰时(7:00~9:00)贴敷,比较两组患者干预前后腹胀疗效、腹胀症状积分、免疫指标与血气分析结果。结果观察组干预后腹胀治疗总有效率高于对照组,腹胀症状积分低于对照组,差异有统计学意义(P<0.05)。观察组干预后降钙素原(PCT)和C反应蛋白(CRP)低于本组干预前,差异有统计学意义(P<0.05),对照组干预前后PCT和CRP比较,差异无统计学意义(P>0.05),观察组干预后PCT和CRP低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))比较,差异无统计学意义(P>0.05)。结论择时大黄芒硝穴位贴敷可有效改善无创通气相关性腹胀症状,调节炎症因子水平,但是其对于通气效果需要进一步验证。

Objective To explore the application effect of acupoint application of Rhubarb and Glauber′s salt on non-invasive ventilation-related abdominal distension at the appointed time(7:00-9:00).Methods A total of 75 patients with chronic obstructive pulmonary disease(COPD)and abdominal distension using noninvasive ventilation admitted to Jurong City People′s Hospital from March 2020 to March 2021 were selected as research objects,they were divided into control group(37 cases)and observation group(38 cases)according to random number table method.Both groups received acupoint application of Rhubarb and Glauber′s salt on the basis of routine nursing.The application time of acupoints in the control group was any time during hospitalization,avoid the time period of 7:00-9:00,while the observation group used acupoint application at 7:00-9:00,the efficacy of abdominal distension,abdominal distension symptom score,immune indexes and blood gas were compared between the two groups before and after intervention.Results The total effective rate of abdominal distension after intervention in the observation group was higher than that in the control group,and the abdominal distension symptom score in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).After intervention,the procalcitonin(PCT)and C-reactive protein(CRP)the observation group were lower than those before intervention,the differences were statistically significant(P<0.05).There were no significant differences in PCT and CRP in the control group before and after intervention(P>0.05).PCT and CRP in the observation group after intervention were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,there were no significant differences in partial pressure of oxygen(PaO_(2)),partial pressure of carbon dioxide in artery(PaCO_(2))between the two groups(P>0.05).Conclusion Acupoint application of Rhubarb and Glauber′s salt can effectively improve non-invasive ventilation-related abdominal distension and adjust the level of inflammatory factors,but the effect of ventilation needs further verification.