针灸治疗呼吸衰竭患者的临床干预分析  

Clinical Intervention Analysis of Acupuncture and Moxibustion in Treating Patients with Respiratory Failure

作　　者：陶阳 苏全德[1] 王燕 TAO Yang;SU Quande;WANG Yan(Weifang Traditional Chinese Medicine Hospital,Weifang 261000,Shandong,China)

机构地区：[1]潍坊市中医院,山东潍坊261000

出　　处：《实用中医内科杂志》2023年第8期173-174,175,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：潍坊市卫生健康委员会中医药科研项目(2022年[第四类]第069号)。

摘　　要：目的 分析呼吸衰竭患者中针灸治疗的干预效果。方法 选取医院近2年(2020年6月—2022年9月)收治的呼吸衰竭者112例,回顾临床资料所有患者均实施有创机械通气、镇痛镇静等治疗。根据后续干预方式的不同,将实施针灸治疗干预的56例患者作为观察组,将实施常规护理干预的56例患者作为对照组。观察两组护理干预效果。结果 在疼痛观察工具(CPOT)评分、Richmond躁动—镇静评分(RASS)方面,两组治疗0.5 h后均较治疗前明显降低(P<0.05)。观察组CPOT、RASS评分0.5 h达标率及72 h内浅镇痛镇静达标率更高,与对照组比较差异有统计学意义(P<0.05);观察组并发症率低,与对照组比较差异有统计学意义(P<0.05);观察组镇痛镇静平均达标时间、平均气管插管带管时间、平均住院时间更短,与对照组比较差异有统计学意义(P<0.05);在血氧指标变化方面,两组治疗在不同时间段(0.5 h、2 h、24 h、48 h、72 h)均较治疗前有明显改善,且观察组改善情况与对照组比较更优,差异有统计学意义(P<0.05);随访中,观察组患者与对照组比较满意度更高,差异有统计学意义(P<0.05)。结论 通过在呼吸衰竭有创机械通气患者镇静镇痛的护理中实施揿针治疗,可有效提高镇痛镇静作用,减少并发症的发生,改善血氧情况,有利于疗效得到进一步提高,同时该疗法易被患者所接受,临床应用价值显著。Objective To analyze the intervention effect of acupuncture treatment in patients with respiratory failure.Methods A total of 112 patients with respiratory failure admited to the hospital in the past 2 years(June 2020-September 2022)were selected,and all the patients were treated with invasive mechanical ventilation,analgesia and sedation.Depending on the subsequent intervention methods,56 patients undergoing the acupuncture treatment intervention were used as the observation group,and 56 patients undergoing the usual care intervention were used as the control group.The effect of the nursing intervention in the two groups was observed.Results The pain observation tool(CPOT)score and Richmond agitation-sedation score(RASS)of both groups decreased significantly after 0.5 h after treatment(P<0.05).In the observation group,the rate of 0.5 h and the rate of shallow analgesia and sedation within 72 h were higher.It was significant compared with that of the control group(P<0.05).Low complication rate in the observation group was significant compared with that of the control group(P<0.05).In the observation group,the average standard time of analgesic sedation,mean tube time of endotracheal tube and mean hospital stay were shorter,which were significant compared with those of the control group(P<0.05).In terms of changes in blood oxygen index in different time periods(0.5 h,2 h,24 h,48 h,72 h)were obliviously significant compared with those before treatment,and those of the observation group improved better compared with those of the control group(P<0.05).During the follow-up visit,the patients in the observation group had higher satisfaction as compared with that in the control group and the difference was statistically significant(P<0.05).Conclusion Through the implementation of press needle therapy in the nursing of patients with invasive mechanical ventilation with respiratory failure,it can effectively improve the analgesic and sedation,reduce the occurrence of complications,improve the blood oxygen and further impr

关 键 词：呼吸衰竭 有创机械通气 镇痛镇静 针灸治疗 护理干预 疼痛 血氧指标 并发症 满意度 效果 

分 类 号：R246.1[医药卫生—针灸推拿学]