薄氏腹针辅助治疗慢性肺源性心脏病合并Ⅱ型呼吸衰竭临床研究
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R541.5;R563.8;R246.1

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广东省中医药局科研项目(20201395)


Clinical Study on Bo's Abdominal Needling in Adjuvant Treatment of Chronic Pulmonary Heart Disease Complicated with Type Ⅱ Respiratory Failure
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    摘要:

    目的:观察薄氏腹针辅助治疗对慢性肺源性心脏病合并Ⅱ型呼吸衰竭患者血气分析、焦虑情绪、呼吸道症状及心功能的影响。方法:选取 60 例慢性肺源性心脏病合并Ⅱ型呼吸衰竭患者,按随机数字表法分为治疗组和对照组各 30 例。对照组给予常规西药及无创呼吸机辅助呼吸治疗,治疗组在对照组基础上加用薄氏腹针辅助治疗,2 组均治疗 7 d。比较 2 组治疗前后动脉血氧分压 (PaO2) 水平、动脉血二氧化碳分压 (PaCO2) 水平、慢阻肺患者自我评估问卷 (CAT) 评分、汉密尔顿焦虑量表(HAMA)评分、N 端-前脑钠肽(NT-proBNP)水平、肺动脉压及右心室舒张末内径(RVDD)。结果:治疗后,2 组 PaO2水平均较治疗前升高 (P<0.05),PaCO2、NT-proBNP 水平均较治疗前降低 (P<0.05),RVDD 均较治疗前缩小 (P<0.05);治疗组PaO2水平高于对照组(P<0.05),PaCO2、NT-proBNP 水平低于对照组(P<0.05),RVDD 小于对照组(P<0.05)。治疗后,2 组CAT、HAMA 评分均较治疗前降低(P<0.05);治疗组 CAT、HAMA 评分均比对照组降低更明显(P<0.05)。结论:薄氏腹针对慢性肺源性心脏病合并Ⅱ型呼吸衰竭患者的血气分析指标及右心功能有改善作用,能缓解其呼吸道症状,提高呼吸活动耐量,改善其焦虑情绪。

    Abstract:

    Abstract:Objective:To observe the effect of the adjuvant treatment of Bo's abdominal needling on blood gas analysis, anxiety,respiratory symptoms,and the heart function of patients with chronic pulmonary heart disease complicated with type Ⅱrespiratory failure. Methods:A total of 60 cases of patients with chronic pulmonary heart disease complicated with type Ⅱ respiratory failure were selected and divided into the treatment group and the control group according to the random number table method, 30 cases in each group. The control group was given routine western medicine and noninvasive ventilator to assist respiration. The treatment group was additionally treated with Bo's abdominal needling based on the treatment of the control group. Both groups were treated for seven days. Before and after treatment,partial pressure of oxygen(PaO2) and partial pressure of carbon dioxide(PaCO2) of artery,scores of COPD Assessment Test(CAT) and Hamilton Anxiety Scale(HAMA),N-terminal pro-brain natriuretic peptide(NT-proBNP),pulmonary artery pressure and right ventricular end diastolic diameter(RVDD) were compared between the two groups. Results:After treatment,the levels of PaO2 in the two groups were increased when compared with those before treatment(P<0.05);the levels of PaCO2 and NT-proBNP were decreased when compared with those before treatment(P<0.05);RVDD was shortened when compared with that before treatment(P<0.05). After treatment,when compared with those in the control group,in the treatment group,the level of PaCO2 was higher(P<0.05),the levels of PaCO2 and NT-proBNP were lower(P<0.05),and the RVDD was shorter(P<0.05). After treatment, the scores of CAT and HAMA in the two groups were decreased when compared with those before treatment(P<0.05); the decrease in the treatment group was more obvious than that in the control group(P<0.05). Conclusion:For patients with chronic pulmonary heart disease complicated with type Ⅱ respiratory failure,Bo's abdominal needling can improve indexes of blood gas analysis and the right ventricular function,relieve their respiratory tract symptoms and anxiety,and enhance respiratory tolerance.

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钟国就.薄氏腹针辅助治疗慢性肺源性心脏病合并Ⅱ型呼吸衰竭临床研究[J].新中医,2021,53(4):147-151

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  • 在线发布日期: 2021-02-27
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