按摩天突穴刺激咳嗽排痰在颅脑损伤患者中的作用研究  

Effect of Massage at Tiantu(CV22) in Promoting Cough and Expectoration in Craniocerebral Trauma Patients

作　　者：吴小飞[1] 余娅娟[1] 

机构地区：[1]浙江省中医院,杭州310006

出　　处：《上海针灸杂志》2018年第2期170-173,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省医药卫生科技计划项目(2014KYA160)

摘　　要：目的观察按摩天突穴在颅脑损伤患者促进排痰的效果,减少并发症。方法将50例拔除气管插管后的颅脑损伤患者随机分为对照组和治疗组,每组25例。对照组采用雾化吸入配合叩背促进咳嗽排痰,治疗组在对照组的基础上配合天突穴按摩。观察记录两组患者连续3 d每天早、中、晚3次治疗前后血氧饱和度的变化,肺不张和心律失常发生情况,气管插管的重置率,连续3 d每天早、中、晚3次治疗措施执行后引发咳嗽排痰情况。结果治疗组引发的咳嗽咳痰总有效率、治疗后血氧饱和度升高情况等均显著高于对照组,肺不张及心律失常的发生率,气管插管的重置率均显著低于对照组(P<0.05)。结论按摩天突穴有助于提高颅脑损伤患者血氧饱和度及促进咳嗽咳痰,减少并发症发生等优势,值得临床应用。Objective To observe the effect of massage at Tiantu （CV22） in promoting expectoration in craniocerebral trauma patients, and to lessen complications. Method Fifty craniocerebral trauma patients after extubation were randomized into a control group and a treatment group, 25 cases each. The control group was intervened by nebulization plus tapping back to promote cough and expectoration, while the treatment group was additionally given massage at Tiantu. For successive 3 days, the oxygen saturation, atelectasis and arrhythmias were observed and recorded before and after treatment in the morning, at midday and night, as well as the re-intubation rate, cough and expectoration induced by the treatment in the morning, at midday and night during the 3 days. Result The total effective rate in causing cough and expectoration and the increase of oxygen saturation in the treatment group were significantly higher than those in the control group, while the occurrence of complications including atelectasis and arrhythmias and re-intubation rate in the treatment group were significantly lower than those in the control group （P〈0.05）. Conclusion Massage at Tiantu is helpful to enhance the oxygen saturation and promote cough and expectoration in craniocerebral trauma patients, and it can lessen the occurrence of complications, thus worth applying in clinic.

关 键 词：穴 天突 脑损伤 排痰 按摩 推拿 护理 

分 类 号：R246.6[医药卫生—针灸推拿学]