安徽医药2025，Vol.29Issue(2) ：285-289.DOI:10.3969/j.issn.1009-6469.2025.02.014

电针背俞穴联合体外膈肌起搏对脑卒中气管切开病人肺康复及呼吸功能的影响

Effect of electroacupuncture at Beishu point combined with external diaphragm pacing on pulmonary rehabilitation and respiratory function of stroke patients undergoing tracheotomy

陈秋菊 刘悦 田玉晴
安徽医药2025，Vol.29Issue(2) ：285-289.DOI:10.3969/j.issn.1009-6469.2025.02.014
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电针背俞穴联合体外膈肌起搏对脑卒中气管切开病人肺康复及呼吸功能的影响

Effect of electroacupuncture at Beishu point combined with external diaphragm pacing on pulmonary rehabilitation and respiratory function of stroke patients undergoing tracheotomy

陈秋菊 1刘悦 1田玉晴2
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作者信息

  • 1. 衡水市人民医院,康复医学科,河北 衡水 053000
  • 2. 衡水市人民医院,中医科,河北 衡水 053000
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摘要

目的 探讨电针背俞穴联合体外膈肌起搏(EDP)在脑卒中气管切开病人中的应用价值.方法 选取2022年1月至2023年6月衡水市人民医院脑卒中气管切开病人200例,按照不同治疗方法分为观察组与对照组,各100例.对照组予以EDP治疗,观察组予以EDP+电针背俞穴治疗,比较两组咳嗽反射评分(GFC)、血气分析指标[二氧化碳分压(PaCO2)、氧分压(PaO2)]、膈肌厚度、移动度、呼吸功能[最大吸气压(MIP)、最大呼气压(MEP)]及肺部感染发生率、拔管成功率.结果 治疗4周后,观察组GFC评分较对照组低[(1.71±0.52)分比(2.09±0.51)分],MIP[(82.61±13.03)cmH2O比(69.02±12.35)cmH2O]、MEP[(112.37±17.49)cmH2O比(102.85±16.82)cmH2O]较对照组高(P<0.05);治疗 4 周后,观察组PaO2[(91.65±9.51)mmHg比(80.37±9.16)mmHg]水平及膈肌厚度[(16.31±2.37)mm比(14.74±2.24)mm]、移动度[(2.44±0.29)mm比(2.20±0.31)mm]较对照组高,PaCO2水平[(42.14±4.03)mmHg比(46.95±4.17)mmHg]较对照组低(P<0.05);治疗4周后,观察组IgG、IgA、IgM较对照组高(P<0.05);观察组肺部感染发生率4.00%较对照组12.00%低,拔管成功率69.00%较对照组41.00%高(P<0.05).结论 电针背俞穴联合EDP可促进脑卒中气管切开病人肺康复,改善病人呼吸功能及免疫功能,减少肺部感染,提高拔管成功率.

Abstract

Objective To explore the application value of electroacupuncture at Beishu point combined with external diaphragm pac-ing in patients with stroke undergoing tracheotomy.Methods From January 2022 to June 2023,200 patients with stroke undergoing tracheotomy in our hospital were randomly divided into study group and control group according to different treatment methods,with 100 patients in each group.The cough reflex score(GFC),blood gas analysis indexes[Partial pressure of carbon oxide(PaCO2)and par-tial pressure of oxygen(PaO2)],diaphragm thickness,mobility,respiratory function[maximum inspiratory pressure(MIP)and maximum expiratory pressure(MEP)],the incidence of pulmonary infection and the success rate of extubation were statistically compared between the two groups.Results After 4 weeks of treatment,the GFC score[(1.71±0.52)scores vs.(2.09±0.51)scores]of the study group was lower than that of the control group,and the MIP[(82.61±13.03)cmH2O vs.(69.02±12.35)cmH2O]and MEP[(112.37±17.49)cmH2O vs.(102.85±16.82)cmH2O]were higher than that of the control group(P<0.05).After 4 weeks of treatment,the PaO2 level[(91.65±9.51)mmHg vs.(80.37±9.16)mmHg],diaphragm thickness[(16.31±2.37)mm vs.(14.74±2.24)mm]and mobility[(2.44±0.29)mm vs.(2.20±0.31)mm]in the study group were higher than those in the control group,while PaCO2 level[(42.14±4.03)mmHg vs.(46.95±4.17)mmHg]was lower than that in the control group(P<0.05).After 4 weeks of treatment,IgG,IgA and IgM in the study group were higher than those in the control group(P<0.05).The incidence of pulmonary infection in the study group was 4.00%lower than that in the con-trol group 12.00%,and the success rate of extubation was 69.00%higher than that in the control group 41.00%(P<0.05).Conclusion Electro-acupuncture at Beishu point combined with EDP can promote lung rehabilitation,improve patients'respiratory and immune functions,reduce lung infection and improve the success rate of extubation.

关键词

卒中/气管切开/电针/背俞穴/体外膈肌起搏/呼吸功能

Key words

Stroke/Tracheotomy/Electroacupuncture/Beishu points/External diaphragm pacing/Respiratory function

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出版年

2025
安徽医药
安徽省药学会

安徽医药

影响因子：1.941
ISSN：1009-6469
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