电针夹脊穴对卒中后气管切开患者咳嗽反射的影响  

Effect of electroacupuncture at Jiaji point on cough reflex in patients with tracheotomy after stroke

作　　者：廖日丰 蔡伟彬 黄凡[1] 陆彦青[1] 代树程 LIAO Rifeng;CAIWeibin;HUANG Fan;LU Yanqing;DAI Shucheng(Department of Acupuncture and Rehabilitation,Guangdong Second Chinese Medicine Hospital,Guangzhou,Guangdong,510000,China)

机构地区：[1]广东省第二中医院针灸康复科,广东广州510000

出　　处：《当代医学》2021年第23期28-30,共3页Contemporary Medicine

摘　　要：目的观察电针夹脊穴对卒中后气管切开患者咳嗽反射的改善作用。方法选取2017年7月至2018年10月本院收治的57例卒中后行气管切开患者,根据治疗方法的不同分为观察组(n=29)和对照组(n=28)。观察组采用电针颈胸夹脊穴治疗,对照组采用呼吸训练治疗。比较两组患者白细胞计数(WBC)、降钙素原(PCT)、临床肺部感染评分(CPIS)、气管切开插管咳嗽反射分级量表评分(TCRGS)及膈肌功能。结果治疗前后,两组患者WBC、PCT水平比较差异均无统计学意义。治疗前,两组患者CPIS、TCRGS评分比较差异均无统计学意义;治疗后,观察组患者CPIS、TCRGS评分均低于治疗前,对照组TCRGS评分低于治疗前,差异均有统计学意义(P<0.05)。治疗前,两组患者膈肌功能各项指标比较差异均无统计学意义;治疗后,观察组患者膈肌活动度高于治疗前,差异有统计学意义(P<0.05)。结论电针夹脊穴能有效改善卒中后气管切开患者咳嗽反射、肺炎症状,与呼吸训练能达到同等治疗效果。Objective To observe the effect of electroacupuncture at Jiaji points on the improvement of cough reflex in patients with tracheotomy after stroke.Methods From July 2017 to October 2018,57 patients with stroke who received tracheotomy were divided into observation group(n=29)and control group(n=28)according to different treatment methods.The observation group was treated with electroacupuncture at Jiaji point on neck and chest,and the control group was treated with breathing training.White blood cell count(WBC),procalcitonin(PCT),clinical pulmonary infection score(CPIS),tracheostomy cough reflex grading score(TCRGS)and diaphragm function were compared between the two groups.Results Before and after treatment,there was no significant difference in WBC and PCT levels between two groups.Before treatment,there was no statistical significance in CPIS and TCRGS scores between two groups;after treatment,CPIS and TCRGS scores in the observation group were low-er than before treatment,and TCRGS scores in the control group was lower than before treatment,with statistical significance(P<0.05).Before treatment,there was no significant difference in the indexes of diaphragm function between two groups;after treatment,diaphragm activity of observation group was higher than before treatment,the difference was statistically significant(P<0.05).Conclusion Electroacupuncture at Jiaji point can effectively improve cough reflex and pneumonia symptoms in patients with tracheotomy after stroke,and can achieve the same therapeutic effect as breathing training.

关 键 词：卒中 气管切开 电针 夹脊穴 咳嗽反射 

分 类 号：R246.6[医药卫生—针灸推拿学]