Study on the Effect of Transcutaneous Electrical Acupoint Stimulation Combined with Early Mobilization on Respiratory Function in Patients with Mechanical Ventilation in ICU
Objective To observe the intervention effect of transcutaneous electrical acupoint stimulation combined with early mobilization on respiratory function of patients with mechanical ventilation in ICU.Methods From June 2021 to June 2022,a total of 97 patients who were mechanically ventilated for the first time and met the inclusion criteria that newly admitted to the ICU of our hospital were selected as the research objects.The random number table method were used for dividing groups,the control group was given by ICU routine nursing and early mobilization.On the basis of routine nursing and early mobilization in ICU,the observation group was given by transcutaneous acupoint electrical stimulation at bilateral Zusanli acupoints,Shenshu acupoints,and Feishu acupoints.The Medical Research Council score(MRC muscle strength score),maximum inspiratory pressure(MIP),tidal volume(VT),airway resistance,lung dynamic compliance,pH,arterial carbon dioxide partial pressure(PaCO2),arterial oxygen partial pressure(PaO2),HCO3-,blood oxygen saturation(SpO2),respiratory rate(RR),and the incidence of ICU-acquired weakness were compared before and after the intervention in both groups.Results The observation group have better MRC muscle strength score,MIP,pulmonary dynamic compliance and HCO3-and lower incidence of ICU acquired weakness than thoes in the control group after intervention(P<0.05).Conclusion Transcutaneous acupoint electrical stimulation combined with early mobilization can reduce airway resistance in mechanically ventilated patients,improve respiratory muscle strength and lung dynamic compliance,and improve respiratory function.It can also improve limb muscle strength,improve patients'physical functional status,and reduce the incidence of ICU-acquired weakness.
Transcutaneous acupoint electrical stimulationEarly mobilizationMechanical ventilationICURespiratory function