穴位药熨法治疗AECOPD患者无创机械通气后腹胀的疗效观察
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摘要
目的探讨穴位药熨法治疗AECOPD患者无创机械通气后腹胀的效果。方法选取无创机械通气治疗过程中发生腹胀的AECOPD患者40例为研究对象,分为对照组19例和试验组21例。对照组给予常规护理干预,试验组在对照组的基础上采用穴位药熨法治疗。对比2组治疗前后胃肠功能评分、腹部胀满评分及治疗总有效率。结果 2组治疗前胃肠功能、腹部胀满评分差异无统计学意义(P>0.05)。治疗后,试验组胃肠功能、腹部胀满评分均低于对照组,差异有统计学意义(P<0.01)。试验组治疗总有效率95.24%,高于对照组的68.42%,差异有统计学意义(P<0.05)。结论对行无创机械通气后腹胀的AECOPD患者实施穴位药熨可显著提高治疗效果。
Objective To investigate the curative effect of hot compress with Chinese herbal on specific acupoints in treatment of abdominal distension after non-invasive mechanical ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD). Methods Totally 40 AECOPD patients with abdominal distension after non-invasive mechanical ventilation were divided into the control group(n=19) and the study group(n=21). Patients of both two groups were given routine care, and those in the study group received hot compress with Chinese herbal on specific acupoints in treatment of abdominal distension. The gastrointestinal function, degree of abdominal distension and total therapeutic response were evaluated after the intervention. Results There were no significant difference in gastrointestinal function and degree of abdominal distension between two groups before the intervention(P>0.05). Patients in the study group achieved better results of gastrointestinal function and abdominal distension compared with those in the control after the intervention(P<0.01). The total therapeutic response rate was 95.24% in the study group and 68.42% in the control group, with a significant difference(P<0.05). Conclusion The hot compress with Chinese herbal is effective in treatment of abdominal distension after non-invasive mechanical ventilation in AECOPD patients.
Objective To investigate the curative effect of hot compress with Chinese herbal on specific acupoints in treatment of abdominal distension after non-invasive mechanical ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD). Methods Totally 40 AECOPD patients with abdominal distension after non-invasive mechanical ventilation were divided into the control group(n=19) and the study group(n=21). Patients of both two groups were given routine care, and those in the study group received hot compress with Chinese herbal on specific acupoints in treatment of abdominal distension. The gastrointestinal function, degree of abdominal distension and total therapeutic response were evaluated after the intervention. Results There were no significant difference in gastrointestinal function and degree of abdominal distension between two groups before the intervention(P>0.05). Patients in the study group achieved better results of gastrointestinal function and abdominal distension compared with those in the control after the intervention(P<0.01). The total therapeutic response rate was 95.24% in the study group and 68.42% in the control group, with a significant difference(P<0.05). Conclusion The hot compress with Chinese herbal is effective in treatment of abdominal distension after non-invasive mechanical ventilation in AECOPD patients.
引文
[1] RIALP C G,DEL C B A,PEREZ A O,et al.Noninvasive mechanical ventilation in chronic obstructive pulmonary disease and in acute cardiogenic pulmonary edema[J].Med Intensiva,2012,38(2):111-121.
[2] 谢礼翔,梁群.针刺治疗无创呼吸机辅助呼吸致胃肠道胀气临床观察[J].辽宁中医药大学学报,2017,19(8):80-82.
[3] 中华中医药学会内科分会肺系病专业委员会.慢性阻塞性肺疾病中医诊疗指南(2011版)[J].2012,53(1):80-84.
[4] 吴庆芹.机械通气并发腹胀19例的原因及护理干预[J].中国伤残医学,2015,23(8):170-171.
[5] 张卫军.中西医结合治疗严重脓毒症患者胃肠功能障碍40例观察[J].浙江中医杂志,2016,51(1):62.
[6] 李红华.无创呼吸机联合中药治疗COPD合并Ⅱ型呼吸衰竭的观察研究[J].中国医疗器械信息,2016,22(22):10-11.
[7] 王涛,秦俭,王晶,等.过度通气综合征84例临床分析[J].临床肺科杂志,2011,16(10):1620-1621.
[8] 单娟,汪洋,丁杰,等.穴位注射联合腹部按摩对机械通气患者肠内营养后胃潴留的影响[J].中西医结合护理(中英文),2018,4(1):79-81.
[9] 何建茹,徐颖珊,陈子清,等.中药药熨改善COPD合并呼吸衰竭病人腹部胀满的临床研究[J].护理研究,2014,28(10):1203-1204.
[10] 黄瑾,高雯,熊晖雯,等.中药外敷联合穴位按揉缓解无创呼吸机辅助通气患者腹胀[J].护理学杂志,2015,30(5):12-13.
[11] 陈丽.腹部穴位按摩配合吴茱萸烫熨治疗骨折患者术后腹胀、便秘应用效果[J].中医临床研究,2017,9(29):60-61.
[12] 陈桂花,陈燕,陈小梅,等.消胀方封包药熨对卧床患者腹胀的护理效果观察[J].赣南医学院学报,2013,33(5):768-769.
[2] 谢礼翔,梁群.针刺治疗无创呼吸机辅助呼吸致胃肠道胀气临床观察[J].辽宁中医药大学学报,2017,19(8):80-82.
[3] 中华中医药学会内科分会肺系病专业委员会.慢性阻塞性肺疾病中医诊疗指南(2011版)[J].2012,53(1):80-84.
[4] 吴庆芹.机械通气并发腹胀19例的原因及护理干预[J].中国伤残医学,2015,23(8):170-171.
[5] 张卫军.中西医结合治疗严重脓毒症患者胃肠功能障碍40例观察[J].浙江中医杂志,2016,51(1):62.
[6] 李红华.无创呼吸机联合中药治疗COPD合并Ⅱ型呼吸衰竭的观察研究[J].中国医疗器械信息,2016,22(22):10-11.
[7] 王涛,秦俭,王晶,等.过度通气综合征84例临床分析[J].临床肺科杂志,2011,16(10):1620-1621.
[8] 单娟,汪洋,丁杰,等.穴位注射联合腹部按摩对机械通气患者肠内营养后胃潴留的影响[J].中西医结合护理(中英文),2018,4(1):79-81.
[9] 何建茹,徐颖珊,陈子清,等.中药药熨改善COPD合并呼吸衰竭病人腹部胀满的临床研究[J].护理研究,2014,28(10):1203-1204.
[10] 黄瑾,高雯,熊晖雯,等.中药外敷联合穴位按揉缓解无创呼吸机辅助通气患者腹胀[J].护理学杂志,2015,30(5):12-13.
[11] 陈丽.腹部穴位按摩配合吴茱萸烫熨治疗骨折患者术后腹胀、便秘应用效果[J].中医临床研究,2017,9(29):60-61.
[12] 陈桂花,陈燕,陈小梅,等.消胀方封包药熨对卧床患者腹胀的护理效果观察[J].赣南医学院学报,2013,33(5):768-769.