穴位按摩结合全胸振荡排痰机在中风病气管切开患者中的临床应用  

Clinical application study of acupoint massage combined with whole chest oscillatory sputum discharge machine in patients with tracheotomy for stroke

作　　者：付婷婷[1] 陈静[1] 韩继敏 王秀珍[1] Fu Tingting;Chen Jing;Han Jimin;Wang Xiuzhen(Department of Internal Medicine,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin Heilongjiang 150000,China)

机构地区：[1]黑龙江中医药大学附属第二医院内科,黑龙江哈尔滨150000

出　　处：《遵义医科大学学报》2025年第4期369-373,379,共6页Journal of Zunyi Medical University

基　　金：黑龙江省中医药科研项目(NO:ZHY2022-173)。

摘　　要：目的探究穴位按摩结合全胸振荡排痰机在中风病气管切开患者中的临床效果。方法回顾性分析92例中风病气管切开患者的临床资料,按治疗方式分为排痰机组(n=31)、穴位按摩组(n=30)、联合组(n=31),观察比较3组患者临床指标、血气指标、呼吸功能和排痰情况。结果治疗前,3组患者心率、呼吸、平均动脉压、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SPO_(2))、用力肺活量(FVC)、最大吸气压(MIP)、最大呼气压(MEP)指标对比无差异(P>0.05);治疗后,联合组心率、呼吸、平均动脉压指标、痰液黏稠度分级、拔管时间、24 h吸痰次数、吸痰量、无痰痂同时痰量减少所需的时间均低于排痰机组和穴位按摩组,FVC、MIP、MEP指标高于排痰机组和穴位按摩组,PaO_(2)、PaCO_(2)、SPO_(2)均优于排痰机组和穴位按摩组(P<0.05)。结论穴位按摩结合全胸振荡排痰机能够有效改善中风病气管切开患者的临床指标,优化血气状况,增强呼吸功能,促进排痰效果。Objective To explore the clinical effect of acupoint massage combined with whole chest oscillation sputum removal machine in patients with tracheotomy for stroke.Methods A retrospective analysis was conducted on the clinical data of 92 stroke patients who underwent tracheotomy in our hospital.They were divided into three groups according to treatment methods:sputum removal group(n=31),acupoint massage group(n=30),and the combination group(n=31).Clinical indicators,blood gas indicators,respiratory function,and sputum removal were observed and compared among the three groups of patients.Results Before treatment,there was no significant difference in heart rate,respiration,mean arterial pressure,arterial oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2)),arterial oxygen saturation(SPO_(2)),forced vital capacity(FVC),maximum inspiratory pressure(MIP),and maximum expiratory pressure(MEP)among the three groups of patients(P>0.05);After treatment,the heart rate,respiration rate,mean arterial pressure index,sputum viscosity grading,extubation time,24-hour sputum suction frequency,sputum volume,and the time required for sputum reduction without scabs in the combination group were all lower than those in the sputum removal unit and acupoint massage group.FVC,MIP,MEP index was higher than those in the sputum removal unit and acupoint massage group,and PaO_(2),PaCO_(2),SPO_(2) were all better than those in the sputum removal unit and acupoint massage group(P<0.05).Conclusion Acupoint massage combined with full chest oscillation sputum removal machine can effectively improve clinical indicators,optimize blood gas status,enhance respiratory function,and promote sputum removal in patients with tracheotomy for stroke.

关 键 词：穴位按摩 全胸振荡排痰机 中风 气管切开 

分 类 号：R246.6[医药卫生—针灸推拿学]