Effect of Acupuncture and Moxibustion Combined with Modified Dachengqi Decoction Retention Enema on Blood Gas Index and Intra-Abdominal Pressure in Patients with Respiratory Failure Undergoing Invasive Mechanical Ventilation
Effect of Acupuncture and Moxibustion Combined with Modified Dachengqi Decoction Retention Enema on Blood Gas Index and Intra-Abdominal Pressure in Patients with Respiratory Failure Undergoing Invasive Mechanical Ventilation
Objective To investigate the clinical effect of acupuncture and moxibustion combined with modified Dachengqi Decoction retention enema in the treatment of patients with respiratory failure(RF)undergoing invasive mechanical ventilation.Methods The clinical data of sixty-six patients with RF undergoing invasive mechanical ventilation admitted to Tongzhou District Hospital of Traditional Chinese Medicine of Nantong City from March 2022 to March 2024 were retrospectively analyzed and were divided into a control group and an observation group according to different treatment plans,with 33 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with acupuncture and Dachengqi Decoction combined with retention enema on the basis of the control group.Both groups were treated continuously for 7 days.The blood gas index,TCM syndrome scores,internal abdominal pressure,ventilation days,hospital stay and adverse reactions were compared between the two groups.Results After treatment,the partial pressure of oxygen in the observation group was(89.65±6.12)mmHg,which was higher than(82.47±5.75)mmHg in the control group,and the partial pressure of carbon dioxide was(38.24±3.47)mmHg,which was lower than(42.43±4.26)mmHg in the control group,the differences between the groups were statistically significant(P<0.05);the scores of wheezing,dyspnea,shortness of breath and phlegm-yellow thickening in the observation group were(1.12±0.23)points,(0.85±0.12)points,(0.97±0.14)points and(0.89±0.15)points,respectively,which were lower than(1.41±0.26)points,(1.14±0.15)points,(1.25±0.17)points,(1.21±0.22)points in the control group,and the differences between the groups were statistically significant(P<0.05);the internal abdominal pressure in the observation group was(1.56±0.25)mmHg,which was lower than(2.29±0.34)mmHg in the control group,the number of days of ventilation and length of hospitalization were(5.32±1.05)d and(8.69±1.35)d,respectively,which were shorter than(7.57±1.24)d and(10.78±1.53)d in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Acupuncture and moxibustion combined with modified Dachengqi Decoction retention enema in the treatment of RF undergoing invasive mechanical ventilation patients is ideal,which can accelerate the normalization of blood gas index,reduce the TCM syndrome scores,reduce internal abdominal pressure,shorten the hospital stay of patients,and is safe and feasible.
关键词
呼吸衰竭/有创机械通气/针灸/大承气汤加味保留灌肠/血气指标
Key words
Respiratory failure/Invasive mechanical ventilation/Acupuncture and moxibustion/Modified Dachengqi Decoction retention enema/Blood gas index
万方数据