经皮电刺激联合耳穴贴压治疗医院获得性肺炎的疗效观察  

Therapeutic effect of transcutaneous electrical stimulation combined with auricular point sticking on hospital-acquired pneumonia

作　　者：吴鹤春 宋闻 杨戈瑶 WU Hechun;SONG Wen;YANG Geyao(Hangzhou Geriatric Hospital(North Branch of Hangzhou First People's Hospital),Hangzhou 310022,China)

机构地区：[1]杭州市老年病医院(杭州市第一人民医院城北院区),杭州310022

出　　处：《上海针灸杂志》2025年第4期440-444,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：杭州市科技计划引导项目(20211231Y076)。

摘　　要：目的 观察经皮电刺激联合耳穴贴压治疗老年医院获得性肺炎(hospital-acquired pneumonia,HAP)的临床疗效。方法 将96例老年HAP患者随机分为经穴组、非经非穴组和对照组,每组32例。治疗过程中,3组均有1例患者因不愿继续治疗而脱落,最终实际纳入每组31例。3组均予西医常规治疗,经穴组另予四肢部腧穴的经皮电刺激联合耳穴贴压治疗,非经非穴组另予非经非穴处经皮电刺激联合非相关耳穴处贴压治疗。观察3组治疗前后临床肺部感染评分(clinical pulmonary infection score,CPIS)以及血清C反应蛋白(C-reactive protein, CRP)和降钙素原(procalcitonin, PCT)水平的变化,比较3组不良反应发生情况。结果 治疗后,经穴组与非经非穴组CPIS以及血清CRP和PCT水平均较治疗前降低(P<0.05),且经穴组与非经非穴组CPIS以及血清CRP和PCT水平均低于对照组(P<0.05);经穴组与非经非穴组CPIS以及血清CRP和PCT水平比较,差异无统计学意义(P>0.05)。治疗过程中,3组均无不良反应事件发生。结论 在西医常规治疗基础上,经皮电刺激联合耳穴贴压治疗老年HAP可有效改善肺部感染,降低血清炎症指标的水平。Objective To observe the clinical efficacy of transcutaneous electrical stimulation combined with auricular point sticking in the treatment of hospital-acquired pneumonia(HAP)in the elderly.Method A total of 96 elderly patients with HAP were randomly divided into an acupoint group,a non-acupoint group and a control group,with 32 cases in each group.During the treatment,one patient in each of the three groups dropped out because of unwillingness to continue treatment,and finally 31 patients were included in each group.All the three groups were treated with conventional Western medication.In addition,the acupoint group was treated with transcutaneous electrical stimulation at acupoints on limbs combined with auricular point sticking therapy,and the non-acupoint group was treated with transcutaneous electrical stimulation at non-acupoints combined with irrelevant auricular point sticking therapy.The clinical pulmonary infection score(CPIS)and the changes in serum C-reactive protein(CRP)and procalcitonin(PCT)before and after treatment were observed in the three groups.The incidence of adverse reactions were compared among the three groups as well.Result After treatment,compared before treatment,the CPIS and the levels of serum CRP and PCT in the acupoint group and the non-acupoint group were decreased(P<0.05),and the CPIS and the serum CRP and PCT levels in the acupoint group and the non-acupoint group were lower than those in the control group(P<0.05).There was no significant difference in the CPIS and serum CRP and PCT levels between the acupoint and non-acupoint groups(P>0.05).During the treatment,no adverse events occurred in the three groups.Conclusion On the basis of conventional Western medication treatment,transcutaneous electrical stimulation combined with auricular point sticking therapy can effectively improve lung infection and reduce serum inflammatory markers in elderly patients with HAP.

关 键 词：穴位疗法 电刺激 穴位 四肢部 耳穴贴压 医院获得性肺炎 老年 

分 类 号：R246.1[医药卫生—针灸推拿学]