五磨饮子联合灸法治疗无创呼吸机致腹胀疗效观察  

Efficacy observation of Wumo Yinzi decoction with moxibustion on abdominal distension due to noninvasive ventilator

作　　者：张玲[1] 

机构地区：[1]江苏省第二中医院

出　　处：《山西中医》2016年第7期15-17,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察五磨饮子联合灸法治疗使用无创呼吸机致腹胀的临床疗效。方法:将60例患者按随机数字表法分为对照组与治疗组各30例。两组均采用控制感染、解痉平喘、止咳化痰、无创呼吸机辅助通气等基本方案,治疗组给予五磨饮子汤剂,温灸仪温灸神阙等穴位,每日1次,7天为1个疗程;对照组给予肥皂水500 m L每日灌肠1次;比较两组疗效及动脉血气分析。结果:治疗组临床治愈6例,显效13例,有效8例,无效3例,总有效率90.0%;对照组临床治愈4例,显效6例,有效9例,无效11例,总有效率63.3%。动脉血气分析结果:治疗组治疗前后Pa O2、Pa CO2改善显著,与对照组比较有显著差异(P<0.01)。结论:五磨饮子联合灸法治疗AECOPDⅡ型呼吸衰竭患者使用无创呼吸机致腹胀疗效较显著。Objective： To observe the clinical effect of Wumo Yinzi decoction combined with moxibustion on abdominal distension due to noninvasive ventilator. Methods： 60 cases of patients were randomly divided into control group and treatment group,30 cases in each group. Both groups were treated with infection control,spasmolysis and anti- asthma,cough relieving and sputum elimination,auxiliary ventilation with noninvasive ventilator etc.basic programs. The treatment group was treated with Wumo Yinzi decoction combined and warming moxibustion on Shenque acupoints etc.,1 times a day,7 days as a course of treatment; while the control group was given the enema of 500 m L soapy water,1 times a day. The effects and the analysis of arterial blood gas were compared in two groups. Results： In treatment group,6 cases were clinical cure,13 cases were significantly effective,8 cases were effectual and 3 cases were unfruitful with a total cure rate of 90. 0%; while in control group,4 cases were clinical cure,6 cases were significantly effective,9 cases were effectual and 11 cases were unfruitful with a total cure rate of63. 3%. The results of analysis of arterial blood gas ： in treatment group,the improvement of PA O2,Paco2 before and after treatment was significant; compared with the control group,there was significant difference（ P〈 0. 01）.Conclusions： The clinical effect of Wumo Yinzi decoction combined with moxibustion on abdominal distension of patients with AECOPDⅡ respiratory failure due to noninvasive ventilator is more significant.

关 键 词：腹胀 慢性阻塞性肺疾病Ⅱ型呼吸衰竭 无创呼吸机 五磨饮子 灸法 

分 类 号：R574.4[医药卫生—消化系统]