Effect of electroacupuncture at Beishu point combined with external diaphragm pacing on pulmonary rehabilitation and respiratory function of stroke patients undergoing tracheotomy
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.
StrokeTracheotomyElectroacupunctureBeishu pointsExternal diaphragm pacingRespiratory function
万方数据
维普
