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中医针灸对心跳骤停患者的应用效果分析

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目的 探究中医针灸在心跳骤停患者中的应用效果及其对患者血清白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)的影响.方法 80 例心跳骤停患者,随机分为观察组和对照组,各 40 例.对照组患者采用徒手心肺复苏术进行抢救,观察组在对照组的基础上加用中医针灸疗法.比较两组患者心肺复苏结果;比较两组心肺复苏有效患者的自主呼吸、自主循环恢复时间及心脏复跳时间,心肺复苏后基本生命体征、指脉氧,血清IL-6、IL-1β水平.结果 观察组以及对照组心肺复苏有效率分别为 85.00%、87.50%,两组患者心肺复苏有效率比较无差异(P>0.05).两组心肺复苏有效患者自主呼吸恢复时间、心脏复跳时间比较无差异(P>0.05);观察组心肺复苏有效患者自主循环恢复时间(47.86±6.71)min短于对照组的(56.24±7.52)min(P<0.05).观察组心肺复苏有效患者复苏后收缩压(87.64±11.08)mm Hg(1 mm Hg=0.133 kPa)较对照组的(79.63±10.32)mm Hg高(P<0.05);两组心肺复苏有效患者复苏后体温、脉搏、呼吸频率、指脉氧比较无差异(P>0.05).抢救成功后即时,两组血清IL-6、IL-1β水平比较无差异(P>0.05);抢救成功后 3 d,观察组血清IL-6(87.29±10.54)ng/L、IL-1β(57.12±8.67)ng/L低于对照组的(99.30±12.73)、(70.63±10.29)ng/L(P<0.05).结论 针对心跳骤停患者,在心肺复苏术的基础上加用中医针灸,可减轻全身炎症反应,促进自主循环恢复,效果确切.
Analysis of application effect of traditional Chinese medicine acupuncture and moxibustion in patients with cardiac arrest
Objective To explore the effect of traditional Chinese medicine acupuncture and moxibustion in patients with cardiopulmonary resuscitation and its influence on serum interleukin-6(IL-6),interleukin-1 β(IL-1β).Methods 80 patients with cardiac arrest were randomly divided into an observation group and a control group,with 40 patients in each group.Comparison was made on results of cardiopulmonary resuscitation,recovery time of spontaneous respiration,spontaneous circulation and cardiac resuscitation time,basic vital signs,finger pulse oxygen,serum IL-6 and IL-1β levels in patients with effective cardiopulmonary resuscitation between the two groups.Results The effective rates of cardiopulmonary resuscitation in the observation group and the control group were 85.00%and 87.50%,and there was no difference between the two groups(P>0.05).There was no difference in the recovery time of spontaneous respiration and cardiac resuscitation time between the two groups(P>0.05).The recovery time of spontaneous circulation of patients with effective cardiopulmonary resuscitation in the observation group was(47.86±6.71)min,which was shorter than(56.24±7.52)min in the control group(P<0.05).The systolic blood pressure of patients with effective cardiopulmonary resuscitation in the observation group was(87.64±11.08)mm Hg(1 mm Hg=0.133 kPa),which was higher than(79.63±10.32)mm Hg in the control group(P<0.05).There were no differences in body temperature,pulse,respiratory rate and finger pulse oxygen between the two groups of patients with effective cardiopulmonary resuscitation after resuscitation(P>0.05).Immediately after successful rescue,there were no differences in serum IL-6 and IL-1β levels between the two groups(P>0.05).On 3 d after successful rescue,the observation group had serum IL-6 of(87.29±10.54)ng/L and IL-1β of(57.12±8.67)ng/L,which were lower than(99.30±12.73)and(70.63±10.29)ng/L in the control group(P<0.05).Conclusion For patients with cardiac arrest,traditional Chinese medicine acupuncture and moxibustion on the basis of cardiopulmonary resuscitation can reduce the systemic inflammatory response,promote the recovery of autonomous circulation,and the effect is definite.

Traditional Chinese medicineAcupuncture and moxibustionCardiopulmonary resuscitation

王静

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030024 太原理工大学校医院院感科

中医 针灸 心肺复苏

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(12)