中药贴敷联合定向透药疗法在无创呼吸机辅助通气致腹胀中的应用研究  

Study of application of traditional Chinese medicine paste combined with directional drug penetration therapy in abdominal distension caused by non-invasive ventilator assisted ventilation

作　　者：李晓云[1] 罗琳琳[1] 郭猷殚[1] 夏晓健[2] LI Xiaoyun;LUO Linlin;GUO Youdan;XIA Xiaojian(Department of Respiratory and Critical Care Medicine,(the First Affiliated Hospital of Nanchang Medical College),Nanchang,Jiangxi 330006,China;Department of Traditional Chinese Medicine of Jiangxi Provincial People’s Hospital,(the First Affiliated Hospital of Nanchang Medical College),Nanchang,Jiangxi 330006,China)

机构地区：[1]江西省人民医院(南昌医学院第一附属医院)二部呼吸与危重症医学科,南昌330006 [2]江西省人民医院(南昌医学院第一附属医院)中医科,南昌330006

出　　处：《上海医药》2023年第14期26-28,45,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：江西省中医药管理局科技计划项目(2020B0027)。

摘　　要：目的:探讨在无创呼吸机辅助通气致腹胀中应用中药贴敷联合定向透药疗法的效果。方法:采用随机数字表法将江西省人民医院2021年3月至2022年3月收治的行无创呼吸机辅助通气致腹胀的患者100例分为两组,每组各50例。对照组予以呼吸、按揉、饮食等腹胀常规护理,观察组加用中药贴敷联合定向透药疗法,均连续干预1周。比较两组胃肠功能改善情况、腹围变化、胃肠道症状评分及动脉血气指标。结果:观察组初次排气时间为(23.84±3.78)h、排便时间为(30.98±4.25)h,短于对照组的(37.12±4.05)h和(42.05±5.27)h(P<0.05)。干预后,观察组腹围为(105.48±11.61)cm、胃肠道症状评定量表(GSRS)评分为(19.22±3.62)分、动脉二氧化碳分压(PaCO_(2))为(53.40±2.17)mmHg,分别低于对照组的(110.26±12.02)cm、(30.41±4.05)分和(57.26±3.25)mmHg(P<0.05);动脉氧分压(PaO_(2))则为(63.13±7.35)mmHg,高于对照组的(58.49±7.28)mmHg(P<0.05)。结论:在无创呼吸机辅助通气致腹胀中应用中药贴敷联合定向透药疗法可缩短排气、排便时间,促进胃肠功能恢复,改善动脉血气指标,利于患者预后。Objective:To investigate the effect of traditional Chinese medicine paste combined with directional drug penetration therapy on abdominal distension caused by non-invasive ventilator assisted ventilation.Methods:A total of 100 patients with abdominal distension caused by non-invasive ventilator assisted ventilation admitted to respiratory department of our hospital from March 2021 to March 2022 were divided into two groups with 50 cases in each group by random number table method.The control group was given routine nursing for abdominal distension such as breathing,massage,diet,etc.,while the observation group was given traditional Chinese medicine paste combined with directional drug penetration therapy,all of which were continuously interfered for 1 week.The improvement of gastrointestinal function,abdominal circumference,gastrointestinal symptom score and arterial blood gas analysis indexes were compared between the two groups.Results:The first exhaust time and defecation time in the observation group were(23.84±3.78)h and(30.98±4.25)h,which were shorter than those in the control group(37.12±4.05)h and(42.05±5.27)h(P<0.05)..After intervention,abdominal circumference was(105.48±11.61)cm,gastrointestinal symptom assessment score was(19.22±3.62),arterial partial pressure of carbon dioxide(PaCO_(2))was(53.40±2.17)mmHg in the observation group,which were lower than those(110.26±12.02)cm,(30.41±4.05)points and(57.26±3.25)mmHg in the control group(P<0.05).;arterial partial pressure of oxygen(PaO_(2))was(63.13±7.35)mmHg in the observation group,which was higher than that(58.49±7.28)mmHg in the control group(P<0.05).Conclusion:The application of traditional Chinese medicine paste combined with directional drug permeation therapy in abdominal distension caused by non-invasive ventilator assisted ventilation can shorten the time of exhaust and defecation,promote the recovery of gastrointestinal function,improve arterial blood gas index,and benefit the prognosis of patients.

关 键 词：腹胀 无创呼吸机 中药贴敷 定向透药疗法 

分 类 号：R24[医药卫生—中医临床基础]