脐疗法防治机械通气治疗慢性阻塞性肺疾病急性发作期中胃肠胀气的疗效分析  

Curative Effect Analysis of Umbilical Therapy in Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease Noninvasive Mechanical Ventilation Concurrent Abdominal Distension Patients

作　　者：周洵[1] 毕璠[1] 

机构地区：[1]贵阳中医学院第二附属医院,贵阳550001

出　　处：《中国实验方剂学杂志》2012年第3期197-200,共4页Chinese Journal of Experimental Traditional Medical Formulae

摘　　要：目的:探讨脐疗法防治机械通气治疗慢性阻塞性肺疾病(COPD)急性发作期(AECOPD)中胃肠胀气的临床疗效。方法:将60例患者随机分为两组,A组:贴脐疗法配合常规治疗组;B组:常规治疗组,比较两组的疗效。结果:A组治疗后呼吸频率、心率、血气分析指标,并发症发生率,气道峰压、气道平台压、机械通气时间及肺部感染控制(PIC)窗出现时间与B组比较有统计学意义(P<0.05)。结论:脐疗法配合机械通气治疗AECOPD能更为有效的减少腹胀、呕吐、误吸的发生;改善血气;降低气道峰压、气道平台压;使肺部感染控制窗时间提早出现;缩短接受机械通气时间;减少气管插管率,患者更易于接受。Objective： To observe the therapeutic effect of umbilical therapy in the treatment of acute exacerbation of chronic obstructive pulmonary disease（AECOPD） noninvasive mechanical ventilation concurrent abdominal distension patients.Method： Sixty patients were randomly divided into A group： umbilical therapy with routine treatment group.B group： conventional treatment group the differencd between the 2 groups,was compared.Result： The heart rate,respiration,blood gas analysis index,complications,airway peak pressure,airway pressure,mechanical ventilation time and pulmonary infection confrol（PIC） window appears time in A group has obvious difference compared with B group.Conclusion：Umbilical therapy with mechanical ventilation AECOPD treatment can effectively reduce the more abdominal distention,vomiting,aspiration to occur,improve the patient in the flesh,lower airway pressure,airway pressure peak platform,make lung infection control window time appear early,shortened accept mechanical ventilation time and reduced tracheal intubation rate make patients more easy to accept.

关 键 词：慢性阻塞性肺疾病 脐疗法 机械通气 胃肠胀气 

分 类 号：R287[医药卫生—中药学]