| 陈秋菊,刘悦,田玉晴.电针背俞穴联合体外膈肌起搏对脑卒中气管切开病人肺康复及呼吸功能的影响[J].安徽医药,2025,29(2):285-289. |
| 电针背俞穴联合体外膈肌起搏对脑卒中气管切开病人肺康复及呼吸功能的影响 |
| Effect of electroacupuncture at Beishu point combined with external diaphragm pacing on pulmonary rehabilitation and respiratory function of stroke patients undergoing tracheotomy |
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| DOI：10.3969/j.issn.1009-6469.2025.02.014 |
| 中文关键词: 卒中 气管切开 电针 背俞穴 体外膈肌起搏 呼吸功能 |
| 英文关键词: Stroke Tracheotomy Electroacupuncture Beishu points External diaphragm pacing Respiratory function |
| 基金项目:衡水市科学技术研究与发展计划项目( 2022014064Z) |
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| 中文摘要: |
| 目的探讨电针背俞穴联合体外膈肌起搏( EDP)在脑卒中气管切开病人中的应用价值。方法选取 2022年 1月至 2023年 6月衡水市人民医院脑卒中气管切开病人 200例，按照不同治疗方法分为观察组与对照组，各 100例。对照组予以 EDP治疗，观察组予以 EDP+电针背俞穴治疗，比较两组咳嗽反射评分( GFC)、血气分析指标［二氧化碳分压( PaCO2)、氧分压(PaO2)］、膈肌厚度、移动度、呼吸功能［最大吸气压( MIP)、最大呼气压( MEP)］及肺部感染发生率、拔管成功率。结果治疗 4周后，观察组 GFC评分较对照组低［(1.71±0.52)分比( 2.09±0.51)分］MIP［(82.61±13.03)cmH2O比( 69.02±12.35)cmH2O］、 MEP［( 112.37±17.49)cmH2O比( 102.85±16.82)cmH2O］较对照组高( P<0.0，5)；治疗 4周后，观察组 PaO2［( 91.65±9.51)mmHg比(80.37±9.16)mmHg］水平及膈肌厚度［(16.31±2.37)mm比( 14.74±2.24)mm］、移动度［(2.44±0.29)mm比(2.20±0.31)mm］较对照组高， PaCO2水平［(42.14±4.03)mmHg比( 46.95±4.17)mmHg］较对照组低( P<0.05)；治疗 4周后，观察组 IgG、IgA、IgM较对照组高( P<0.05)；观察组肺部感染发生率 4.00%较对照组 12.00%低，拔管成功率 69.00%较对照组 41.00%高( P<0.05)。结论电针背俞穴联合 EDP可促进脑卒中气管切开病人肺康复，改善病人呼吸功能及免疫功能，减少肺部感染，提高拔管成功率。 |
| 英文摘要: |
| Objective To explore the application value of electroacupuncture at Beishu point combined with external diaphragm pac-ing in patients with stroke undergoing tracheotomy.Methods From January 2022 to June 2023, 200 patients with stroke undergoingtracheotomy in our hospital were randomly divided into study group and control group according to different treatment methods, with100 patients in each group. The cough reflex score (GFC), blood gas analysis indexes [Partial pressure of carbon oxide (PaCO2) and par-tial pressure of oxygen (PaO2)], diaphragm thickness, mobility, respiratory function[maximum inspiratory pressure (MIP) and maximumexpiratory pressure (MEP)], the incidence of pulmonary infection and the success rate of extubation were statistically compared betweenthe two groups.Results After 4 weeks of treatment, the GFC score [(1.71±0.52) scores vs. (2.09±0.51)scores] of the study group was lower than that of the control group, and the MIP [(82.61±13.03)cmH2O vs. (69.02±12.35)cmH2O] and MEP[(112.37±17.49)cmH2O vs. (102.85±16.82)cmH2O] were higher than that of the control group (P<0.05).After 4 weeks of treatment, the PaO2 level [(91.65±9.51) mmHg vs. (80.37±9.16)mmHg], diaphragm thickness [(16.31±2.37)mm vs. (14.74±2.24)mm] and mobility [(2.44±0.29)mm vs. (2.20± 0.31)mm] in the study group were higher than those in the control group, while PaCO2 level [(42.14±4.03)mmHg vs. (46.95±4.17) mmHg] was lower than that in the control group (P<0.05). After 4 weeks of treatment, IgG, IgA and IgM in the study group were higher than those in the control group (P<0.05). The incidence of pulmonary infection in the study group was 4.00% lower than that in the con-trol group 12.00%, and the success rate of extubation was 69.00% higher than that in the control group 41.00% (P<0.05).Conclusion Electro-acupuncture at Beishu point combined with EDP can promote lung rehabilitation, improve patients' respiratory and immunefunctions, reduce lung infection and improve the success rate of extubation. |
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