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穴位针刺联合右美托咪定用于ICU谵妄患者的临床疗效

Clinical Efficacy of Acupoint Acupuncture Combined with Dexmedetomidine in Delirium Pa⁃tients in ICU
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摘要 目的研究穴位针刺联合右美托咪定用于重症监护病房(intensive care unit,ICU)谵妄患者的临床疗效。方法选取2021年1月—2023年12月重庆市南川区中医医院收治的126例ICU谵妄患者为研究对象,根据不同的治疗方法分为对照组和观察组,各63例。对照组采用右美托咪定单一疗法,观察组应用穴位针刺结合右美托咪定综合疗法。对比两组治疗后48 h的ICU意识模糊评估(Confusion Assessment Method of Intensive Care Unit,CAM-ICU)评分、谵妄并发症发生情况及临床疗效。结果治疗前,两组CAM-ICU评分比较,差异无统计学意义(P均>0.05);治疗后,观察组CAM-ICU评分(情绪、攻击性、意识水平)均低于对照组,差异有统计学意义(P均<0.05)。观察组谵妄并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率为96.83%(61/63),高于对照组的87.30%(55/63),差异有统计学意义(χ^(2)=2.991,P<0.05)。结论ICU谵妄患者行穴位针刺联合右美托咪定能有效提高疗效,改善患者的CAM-ICU评分。 Objective To study the clinical efficacy of acupoint acupuncture combined with dexmedetomidine in patients with intensive care unit(ICU)delirium.Methods A total of 126 patients with ICU delirium admitted to Nanchuan District Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the research objects.They were divided into control group and observation group according to the different treatment methods,with 63 cases in each group.The control group was treated with dexmedetomidine alone,the observation group was treated with acupoint acupuncture combined with dexmedetomidine.Confusion Assessment Method of Intensive Care Unit(CAM-ICU)score,delirium complications and efficacy were compared between the two groups at 48 hours after treatment.Results Before treatment,there was no statistically significant difference in CAM-ICU scores between the two groups(all P>0.05).After treatment,the CAMICU scores(emotion,aggression and consciousness level)of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of delirium complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The effective rate of treatment in the observation group was 96.83%(61/63),which was higher than 87.30%(55/63)in the control group,and the difference was statistically significant(χ^(2)=2.991,P<0.05).Conclusion Acupoint acupuncture combined with dexmedetomidine can effectively improve the curative effect and improve the CAM-ICU score of patients with ICU delirium.
作者 霍锐 李陈诚 刘坤强 蒲小洪 HUO Rui;LI Chencheng;LIU Kunqiang;PU Xiaohong(Department of Emergency Critical Care Medicine,Nanchuan District Hospital of Traditional Chinese Medicine,Chongqing 408400,China)
出处 《世界复合医学(中英文)》 2024年第8期65-68,共4页 World Journal of Complex Medicine
关键词 穴位针刺 右美托咪定 ICU谵妄 Acupoint acupuncture Dexmedetomidine ICU delirium
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