点穴配合机械辅助排痰对卒中相关性肺炎患者康复的影响  

Effect of Digital Acupressure plus Mechanical Sputum Expectoration on the Rehabilitation of Patients with Stroke-associated Pneumonia

作　　者：陈雨[1] 林志诚[1] 林高城[1] 詹增土[1] 余友金 梁正侠 

机构地区：[1]福建中医药大学附属康复医院,福州350003

出　　处：《上海针灸杂志》2015年第7期612-614,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：福建省卫生计生委青年科研课题(2014-2-36)

摘　　要：目的观察手指点穴配合机械辅助排痰对卒中相关性肺炎患者康复的影响。方法将46例卒中相关性肺炎患者随机分为治疗组22例和对照组24例。治疗组采用手指点穴配合机械辅助排痰治疗,对照组采用单纯机械辅助排痰治疗。比较两组治疗前后患者简化临床肺部感染评分(CPIS评分)、运动功能(Fugl-Meyer评分)及日常生活能力(改良Barthel指数)。结果两组患者治疗后CPIS量表评分、Fugl-Meyer评分及改良Barthel指数与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后CPIS量表评分、Fugl-Meyer评分及改良Barthel指数与对照组比较,差异均具有统计学意义(P<0.05)。两组患者治疗后CPIS量表评分与Fugl-Meyer评分呈负相关性,CPIS量表评分与改良Barthel指数也呈负相关性。结论手指点穴配合机械辅助排痰能有效改善卒中相关性肺炎患者的肺部症状,有利于卒中患者的康复。Objective To observe the effect of digital acupressure plus mechanical sputum expectoration on the rehabilitation of patients with stroke-associated pneumonia. Method Forty-six patients with stroke-associated pneumonia were randomized into a treatment group of 22 cases and a control group of 24 cases. The treatment group was intervened by digital acupressure plus mechanical sputum expectoration, while the control group was by mechanical sputum expectoration alone. The simplified version of Clinical Pulmonary Infection Score （CPIS）, Fugl-Meyer assessment scale, and modified Barthel Index （BI） were adopted for evaluation before and after intervention. Result After treatment, CPIS, Fugl-Meyer and BI scores were changed significantly in both groups （P〈0.01）. There were significant differences in comparing the CPIS, Fugl-Meyer and BI scores between the two groups after intervention （P〈0.05）. After intervention, the two groups showed a negative correlation between CPIS score and Fugl-Meyer score, as well as between CPIS score and BI score. Conclusion Digital acupressure plus mechanical sputum expectoration can effectively improve the pulmonary symptoms in patients with stroke-associated pneumonia, benefiting the rehabilitation of the post-stroke patients.

关 键 词：点穴 肺炎 卒中相关性 机械辅助排痰 中风并发症 推拿 

分 类 号：R246.6[医药卫生—针灸推拿学]