手部全息穴联合耳穴按压对慢性阻塞性肺疾病急性加重机械通气患者的影响

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摘要目的探讨手部全息穴联合耳穴按压在慢性阻塞性肺疾病急性加重（AECOPD）机械通气患者中的效果。方法选取2016年1月～2017年11月在我院重症医学科（ICU）确诊AECOPD伴呼吸衰竭行机械通气60例患者，按照随机数字表法分为观察组和对照组，每组各30例。对照组是常规治疗护理组（病情观察、药物、人工气道、气囊、吸痰、呼吸机管路、口腔、脱机、心理等护理）等，观察组在常规治疗护理的基础上结合手部全息穴联合耳穴按压，比较两组的呼吸频率、氧饱和度恢复正常时间，呼吸机脱机、下床活动时间；两组产生肺不张、肺功能下降、循环衰竭、呼吸机相关性肺炎占比和生存率。结果观察组的呼吸频率、氧饱和度恢复正常时间，呼吸机脱机、下床活动时间明显短于对照组，差异有统计学意义（P<0.05）；观察组的肺不张、肺功能下降、循环衰竭、呼吸机相关性肺炎占比明显低于对照组，生存率明显高于对照组，差异有统计学意义（P<0.05）。结论手部全息穴按压联合耳穴压豆促进AECOPD机械通气患者肺功能的恢复，提高患者生存率。

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	胡彩甜
	王敏珠
	潘志明
	冯艳

关键词 ：手部全息穴按压, 耳穴压豆, 慢性阻塞性肺疾病急性加重, 机械通气

Abstract：Objective To explore the effect of hand holographic acupoint combined with auricular acupoint pressing on mechanical ventilation patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Methods Sixty patients with AECOPD and respiratory failure diagnosed in our hospital Department of critical care medicine from January 2016 to November 2017 were selected for mechanical ventilation.They were divided into observation group and control group according to random number table method,30 cases in each group.The control group was the routine treatment nursing group (condition observation,medicine,artificial airway,balloon,sputum suction,ventilator pipeline,oral cavity,off-line,psychological care)etc.The observation group was based on routine treatment and nursing combined with hand holographic acupoints and auricular acupoint pressing,and the respiratory frequency,oxygen saturation recovery time of the two groups of patients were compared;the time of off-machine and off-bed activity of the ventilator;the incidence and survival rate of atelectasis,pulmonary dysfunction,circulatory failure,ventilator-associated pneumonia were observed in observation group.Results Respiratory frequency and oxygen saturation returned to normal in the observation group;the time of off-line and out-of-bed activities of the ventilator was significantly shorter than that of the control group (P<0.05);the proportion of atelectasis,decreased pulmonary function,circulatory failure and ventilater associated pneamonia in the observation group was significantly lower than that of the control group,and the survival rate was significantly increased than that in the observation group (P<0.05).Conclusion Holographic hand acupoint pressing combined with ear acupoint pressing can promote the recovery of pulmonary function and improve the survival rate of AECOPD patients undergoing mechanical ventilation.

Key words： Holographic point pressing on hand Ear point pressing Acute exacerbation of chronic obstructive pulmonary disease Mechanical ventilation

引用本文:

胡彩甜; 王敏珠; 潘志明; 冯艳. 手部全息穴联合耳穴按压对慢性阻塞性肺疾病急性加重机械通气患者的影响[J]. 中国当代医药, 2019, 26(16): 237-240.
HU Cai-tian; WANG Min-zhu; PAN Zhi-ming; FENG Yan. Effect of hand holographic acupoint combined with auricular acupoint pressing on patients with acute exacerbation of chronic obstructive pulmonary disease undergoing mechanical ventilation. 中国当代医药, 2019, 26(16): 237-240.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2019/V26/I16/237

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