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调神针法对重症患者谵妄的预防和治疗作用分析

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目的 探讨调神针法对重症患者谵妄的预防和治疗作用.方法 简单随机选取2022年1月—2023年6月梅州市中医医院ICU治疗的40例重症患者为研究对象.按照是否接受调神针法治疗分为治疗组(n=22)和对照组(n=18),对照组给予常规对症支持治疗,治疗组在对照组基础上给予"调神针法"治疗.比较两组患者治疗后3 d内谵妄的发生情况以及患者1个月内相关症状的改善情况.结果 治疗组谵妄总发生率(9.09%)显著低于对照组(38.89%),差异有统计学意义(χ2=5.041,P<0.05).两组患者治疗后1个月疼痛数字评分、重症监护谵妄筛查量表评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P均<0.05).结论 调神针法能够降低重症患者谵妄发生率,并改善相关症状.
Analysis on Effect of Tiaoshen Acupuncture on Prevention and Treatment of Delirium in Severe Patients
Objective Analysis of the preventive and therapeutic effects of Tiaoshen acupuncture on delirium in se-vere patients.Methods A total of 40 severe patients who were treated in the ICU of Meizhou Hospital of Traditional Chinese Medicine from January 2022 to June 2023 were simple randomly selected as the study objects.According to whether or not they received the modulated acupuncture treatment,they were divided into the treatment group(n=22)and the control group(n=18).The control group was given the conventional symptomatic supportive treatment,and the treatment group was given the Tiaoshen acupuncture treatment on the basis of the control group.The incidence of de-lirium within 3 days after treatment and the improvement of related symptoms within 1 month were compared between the two groups.Results The total incidence of delirium in the treatment group(9.09% )was significantly lower than that in the control group(38.89% ),the difference was statistically significant(χ2=5.041,P<0.05).Numeric Rating Scale score and Intensive Care Delirium Screening Checklist score 1 month after treatment were lower in two groups than before treatment,and the treatment group were lower than the control group,the differences were statistically sig-nificant(both P<0.05).Conclusion Tiaoshen acupuncture can reduce the incidence of delirium in severe patients and improve related symptoms.

Severe caseDeliriumTiaoshen acupuncturePreventionTreatment

杨洁琼、孙策、傅帆

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梅州市中医医院,广东梅州 514071

重症 谵妄 调神针法 预防 治疗

梅州市医药卫生科研课题

2022-B-64

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(14)
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