穴位注射联合红外线治疗对无创通气腹胀患者胃肠功能的影响

Effect of acupoint injection combined with infrared therapy on gastrointestinal function in patients with abdominal distension under non-invasive ventilation

目的 观察穴位注射联合红外线治疗对无创通气腹胀患者胃肠功能的影响。方法 将我院90例无创通气患者随机分为观察组与对照组各45例。对照组予以红外线治疗,观察组在对照组治疗基础上予新斯的明穴位注射。分析两组临床疗效,比较两组肠鸣音恢复时间、排气时间、排便时间、呼吸机使用时间、腹围、腹压、降钙素原(PCT)、超敏C反应蛋白(hs-CRP)、血氧分压(PaO_(2))、血二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))值。结果 治疗后,观察组总有效率为91.11%,对照组总有效率为73.33%,观察组总有效率高于对照组(P<0.05);观察组肠鸣音恢复、排气和排便时间、呼吸机使用时间均少于对照组(P<0.05);两组腹围、腹压减小,观察组腹围、腹压小于对照组(P<0.05);两组PCT、hs-CRP、PaCO_(2)水平下降,观察组PCT、hs-CRP、PaCO_(2)平低于对照组(P<0.05);两组PaO_(2)、SaO_(2)值增高,观察组PaO_(2)、SaO_(2)值高于对照组(P<0.05)。结论 穴位注射联合红外线治疗对无创通气腹胀患者胃肠功能具有显著改善作用,显著降低炎症反应,稳定血气指标。

Objective To observe the effect of acupoint injection combined with infrared therapy on gastrointestinal function in patients with non-invasive ventilation and abdominal distension.Methods Ninety patients with non-invasive ventilation were randomly divided into observation group and control group with 45 cases each.Control group was treated with infrared ray,and observation group was treated with neostigmine acupoint injection on the basis of control group.The clinical effects of the two groups were analyzed,and the recovery time of bowel sounds,exhaust time,defecation time,ventilator use time,abdominal circumference,abdominal pressure,procalcitonin(PCT),high sensitine C-reactine protein(hs-CRP),partial pressure of blood oxygen(PaO_(2)),partial pressure of blood carbon dioxide(PaCO_(2)),and blood oxygen saturation(SaO,)values were compared between the two groups.Results After treatment,the total effective rate of observation group was higher than that of control group(P<0.05);the recovery of bowel sounds,the time of exhaust and defecation,and the time of ventilator use in observation group were shorter than those in control group(P<0.05);the abdominal circumference and abdominal pressure decreased in the two groups,and were lower in observation group than control group(P<0.05);the levels of PCT,hs-CRP,PaCO,decreased in the two groups,and were lower in observation group than control group(P<0.05);the values of PaO_(2),SaO_(2) increased in both groups,and were higher in observation group than control group(P<0.05).ConclusionnAcupointinjection combined with infrared therapy significantly improves gastrointestinal function , reduces inflammatory reaction, stabilizes bloodgas index in patients with non-invasive ventilation and abdominal distension.