Application effect of Zhengchang San acupoint application in patients with abdominal distension due to non-invasive ventilation during acute exacerbation of chronic obstructive pulmonary disease
Objective To study the clinical therapeutic effect of Zhengchang San acupoint application in patients with abdominal distension due to non-invasive ventilation during acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 120 patients with acute exacerbation of chronic obstructive pulmonary disease who were hospitalized for non-invasive ventilation were selected as the study subjects.They were randomly divided into a control group and a study group,with 60 cases in each group.Patients in the control group were given conventional treatment,and patients in the study group were treated with Zhengchang San acupoint application on the basis of the control group.The clinical efficacy,gastrointestinal symptom rating scale(GSRS)score,abdominal circumference and intra-abdominal pressure before and after treatment were compared between the two groups.Results All patients successfully completed the study without adverse reactions.In the study group,52 cases were significantly effective,6 cases were effective,2 cases were ineffective,and the total effective rate was 96.67%.In the control group,27 cases were significantly effective,24 cases were effective,9 cases were ineffective,and the total effective rate was 85.00%.The total effective rate of the study group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in GSRS score,abdominal circumference and intra-abdominal pressure between the two groups(P>0.05).After treatment,GSRS score,abdominal circumference and intra-abdominal pressure in both groups were lower than those before treatment in this group;in the study group,GSRS score was(15.80±1.52)points,the abdominal circumference was(89.48±5.76)cm and the intra-abdominal pressure was(2.38±0.83)mm Hg(1 mm Hg=0.133 kPa),which were lower than those of(18.90±2.43)points,(95.26±4.14)cm and(3.05±1.10)mm Hg in the control group;the differences were statistically significant(P<0.05).Conclusion The application of Zhengchang San at acupoint application can improve the gastrointestinal symptoms of patients with abdominal distension due to non-invasive ventilation during acute exacerbation of chronic obstructive pulmonary disease,promote exhaust gas,reduce abdominal distension,reduce abdominal circumference,and reduce intra-abdominal pressure.The acceptability is high,and it has high clinical value,and is worth popularizing.