针刺背俞穴联合膈肌起搏治疗脑卒中后呼吸功能障碍临床研究
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R246

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仙居县科技计划项目(仙科[2019]10号)


Clinical Study on Acupuncture at Beishu Points Combined with Diaphragmatic Pacing for Respiratory Dysfunction After Stroke
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    摘要:

    目的:观察针刺背俞穴联合膈肌起搏治疗脑卒中后呼吸功能障碍的临床疗效。方法:选取60 例脑卒中后呼吸功能障碍患者,按随机数字表法分成对照组和观察组各30 例。对照组予以体外膈肌起搏器(EDP) 治疗,观察组给予针刺背俞穴联合EDP 治疗,2 组均治疗4 周。比较2 组治疗前后血气分析指标、膈肌运动度、膈肌厚度、肺功能和生活质量。结果:治疗后,2 组动脉血二氧化碳分压(PaCO2) 均较治疗前降低(P<0.05),动脉血氧分压(PaO2)、氧合指数(OI) 均较治疗前升高(P<0.05);观察组PaCO2 低于对照组(P<0.05),PaO2、OI 均高于对照组(P<0.05)。治疗后,2 组膈肌运动度、膈肌厚度均较治疗前增大(P<0.05),观察组膈肌运动度、膈肌厚度均大于对照组(P<0.05)。治疗后,2 组用力肺活量(FVC)、第1 秒用力呼气容积占预计值的百分比(FEV1% pred) 及每分钟最大通气量占预计值的百分比(MMV%pred) 均较治疗前升高(P<0.05),观察组FVC、FEV1%pred 及MMV%pred 均高于对照组(P<0.05)。治疗后,2 组Barthel 指数(BI) 及躯体功能、心理功能、社会功能、物质生活评分均较治疗前升高(P<0.05),观察组BI 及躯体功能、心理功能、社会功能、物质生活评分均高于对照组(P<0.05)。结论:针刺背俞穴联合膈肌起搏可有效改善脑卒中后呼吸功能障碍患者的血气分析指标、膈肌运动度及肺功能,提高其生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of acupuncture at Beishu points combined with diaphragmatic pacing on respiratory dysfunction after stroke. Methods:A total of 60 patients with respiratory dysfunction after stroke were selected and divided into the control group and the observation group according to the random number table method, with 30 cases in each group. The control group was treated with external diaphragm pacemaker(EDP), and the observation group was additionally treated with acupuncture at Beishu points. Both groups were treated for four weeks. Before and after treatment, blood gas analysis indexes, diaphragmatic motion, diaphragm thickness, lung function and quality of life in the two groups were compared. Results:After treatment,the partial pressure of carbon dioxide(PaCO2) in both groups was decreased when compared with that before treatment(P<0.05),and the partial pressure of oxygen(PaO2) and oxygenation index(OI) were increased(P<0.05);the PaCO2 in the observation group was lower than that in the control group(P<0.05), and the PaO2 and OI were higher(P<0.05). After treatment, the diaphragmatic motion and diaphragm thickness in the two groups were increased when compared with those before treatment(P<0.05), and the above two indexes in the observation group were higher than those in the control group(P<0.05). After treatment,forced vital capacity (FVC),percentage of maximum expiratory volume in the first second to the expected value(FEV1%pred),and percentage of maximum expiratory volume in the maximum minute ventilation(MMV%pred) in both groups were increased when compared with those before treatment(P<0.05),and the above three indexes in observation group were higher than those in control group(P<0.05). After treatment,the scores of Barthel Index(BI),physical function,psychological function,social function and material life in the two groups were increased when compared with those before treatment(P<0.05), and the above scores in the observation group were higher than those in the control group(P<0.05). Conclusion: The therapy of acupuncture at Beishu points combined with diaphragm pacing can effectively improve the blood gas analysis indexes, diaphragm motion,lung function and quality of life of patients with respiratory dysfunction after stroke.

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应巧迪,应一,王潇潇.针刺背俞穴联合膈肌起搏治疗脑卒中后呼吸功能障碍临床研究[J].新中医,2022,54(4):151-154

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  • 在线发布日期: 2022-02-24
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