穴位贴敷联合体外膈肌起搏对脑出血气管切开患者肺功能康复的影响  

Effect of acupoint application combined with extracorporeal diaphragmatic pacing on pulmonary function rehabilitation in patients with intracerebral hemorrhage undergoing tracheotomy

作　　者：揭文妙 段素芬[1] 朱霞 林赟[2] 游涛[1] 熊建忠[3] JIE Wenmiao;DUAN Sufen;ZHU Xia;LIN Yun;YOU Tao;XIONG Jianzhong(Department of Neurosurgery,Pingxiang People's Hospital,Jiangxi Province,Pingxiang 337000,China;Department of Traditional Chinese Medicine,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China;Department of Rehabilitation Medicine,Pingxiang People's Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院神经外科,江西萍乡337000 [2]江西省萍乡市人民医院中医科,江西萍乡337000 [3]江西省萍乡市人民医院康复医学科,江西萍乡337000

出　　处：《中国当代医药》2025年第11期143-146,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022A069)。

摘　　要：目的探讨穴位贴敷联合体外膈肌起搏在脑出血气管切开患者中的应用效果。方法选取2022年3月至2024年6月萍乡市人民医院神经外科收治的40例脑出血气管切开患者作为研究对象,按照随机数字表法分为对照组与观察组,每组20例。两组患者均给予抗炎、化痰等处理,对照组给予常规护理,观察组在对照组基础上给予穴位贴敷联合体外膈肌起搏干预。比较两组患者干预后的拔管时间、30 d内成功拔管率及干预前后C反应蛋白、降钙素原、中性粒细胞计数等指标。结果两组患者拔管时间比较,差异无统计学意义(P>0.05)。观察组30 d内成功拔管率高于对照组,差异有统计学意义(P<0.05)。观察组干预后C反应蛋白、降钙素原、中性粒细胞计数低于对照组,差异有统计学意义(P<0.05)。结论穴位贴敷联合体外膈肌起搏干预能够促进脑出血气管切开患者肺功能的康复。Objective To investigate the effect of acupoint application combined with extracorporeal diaphragmatic pacing in patients with intracerebral hemorrhage undergoing tracheotomy.Methods A total of 40 patients with intracerebral hemorrhage treated in the Department of Neurosurgery of Pingxiang People's Hospital from March 2022 to June 2024 were selected as the research objects,and they were divided into control group and observation group according to random number table method,with 20 cases in each group.Patients in both groups were given anti-inflammation and expectoration treatment,the control group was given routine nursing,and the observation group was given acupoint application combined with extracorporeal diaphragmatic pacing on the basis of the control group.The extubation time,successful extubation rate within 30 d,C-reactive protein,procalcitonin and neutrophil counts before and after intervention were compared between the two groups.Results There was no significant difference in extubation time between the two groups(P>0.05).The successful extubation rate within 30 d in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the C-reactive protein,procalcitonin and neutrophil counts in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Acupoint application combined with extracorporeal diaphragmatic pacing intervention can promote the rehabilitation of pulmonary function in patients with intracerebral hemorrhage.

关 键 词：脑出血 气管切开 穴位贴敷 体外膈肌起搏 肺功能康复 

分 类 号：R473.6[医药卫生—护理学]