穴位按摩联合肺康复对早期机械通气患者肺功能的影响  

作　　者：胡晓蓉 

机构地区：[1]浙江省兰溪市中医院,321100

出　　处：《浙江临床医学》2024年第8期1206-1207,1210,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨穴位按摩联合肺康复对早期机械通气患者肺功能的影响。方法选取2022年1月至2023年12月行早期机械通气患者93例,采用随机数字表法将患者分为穴位按摩组、肺康复治疗组以及穴位按摩联合肺康复治疗组,每组各31例。比较三组患者治疗前后肺功能指标(FVC、FEV_(1)、FEV_(1)/FVC)、机械通气时间、mMRC呼吸困难指数评定、不良事件发生率及临床疗效。结果三组患者治疗后5 d及30 d肺功能指标(FVC、FEV_(1)、FEV_(1)/FVC)比较,差异有统计学意义(P<0.05)。联合治疗组的机械通气时间、mMRC呼吸困难指数以及不良事件发生率低于单独治疗组(P<0.05)。穴位按摩联合肺康复治疗组总有效率高于单独治疗组(P<0.05)。结论穴位按摩联合肺康复有利于改善早期机械通气患者的肺通气功能与呼吸困难状况,提高生活质量,促进机体康复,值得临床推广。Objective To explore the therapeutic effect of acupoint massage combined with lung rehabilitation on pulmonary function in patients with early mechanical ventilation.Methods 93 patients with early mechanical ventilation in our hospital from January 2022 to December 2023 were randomly divided into the acupoint massage group(n=31),the lung rehabilitation group(n=31)and the acupoint massage combined with lung rehabilitation group(n=31).The pulmonary function indexes(FVC,FEV_(1),FEV_(1)/FVC),mechanical ventilation time,mMRC dyspnea index,incidence of adverse events and clinical efficacy of the three groups before and after treatment were compared.Results Comparison of pulmonary function indexes(FVC,FEV_(1),FEV_(1)/FVC)at 5 and 30 days after treatment in the three groups showed statistically significant differences(P<0.05).The duration of mechanical ventilation,mMRC dyspnoea index and the incidence of adverse events in the combined treatment group were lower than those in the separate treatment group(P<0.05).The overall effective rate of the combined treatment group was significantly higher than that of the separate treatment group(P<0.05).Conclusion Acupoint massage combined with lung rehabilitation can improve the pulmonary ventilation function and dyspnea,improve the quality of life and promote the rehabilitation of patients with early mechanical ventilation,which is worth popularizing.

关 键 词：穴位按摩 早期机械通气 肺功能 肺康复训练 

分 类 号：R563.8[医药卫生—呼吸系统]