摘要
目的比较单独西医常规治疗与针灸联合穴位贴敷法治疗急诊老年脓毒症机械通气患者继发肠功能障碍的疗效。方法回顾性分析2019年1月至2021年6月在北京中医药大学东直门医院急诊科就诊的111例脓毒症机械通气的老年患者,按入院时间分为2组:单独西医治疗组(2019年1月至2019年12月入院的患者,n=47)、针灸联合穴位贴敷组(2020年1月至2021年6月入院的患者,n=64)。针灸联合穴位贴敷组在常规西医治疗基础上加予针灸联合穴位贴敷法治疗。比较两组患者肠功能障碍评分、腹围大小、4周后病死率等指标。结果针灸联合穴位贴敷组治疗后腹围、肠功能障碍评分显著小于治疗前[(100.56±9.34)cm vs(106.25±9.74)cm;(0.92±0.72)分vs(2.31±0.69)分,均P<0.05],而西医治疗组治疗前后上述指标差异无统计学意义(均P<0.05);针灸联合穴位贴敷组治疗后的腹围、肠功能障碍评分、4周后病死率均显著小于西医治疗组[(100.56±9.34)cm vs(108.09±10.52)cm;(0.92±0.72)分vs(2.43±0.62)分;29.7%(19/64)vs 48.9%(23/47),均P<0.05]。结论采取针灸联合穴位贴敷法治疗急诊老年脓毒症机械通气患者继发肠功能障碍的疗效优于单独西医常规治疗,患者胃肠功能及预后得到明显改善,值得临床推广。
Objective To compare the efficacy of conventional Western medicine alone and acupuncture combined with acupoint application in treating intestinal dysfunction secondary to mechanical ventilation in elderly patients with emergency sepsis.Methods A retrospective analysis was performed on 111 elderly patients with mechanical ventilation for sepsis admitted to the emergency department of Dongzhimen Hospital of Beijing University of Chinese Medicine from January 2019 to June 2021.They were divided into two groups according to the time of admission:Western medicine treatment group alone(patients from January 2019 to December 2019,n=47)and acupuncture combined with acupoint application group(patients from January 2020 to June 2021,n=64).Acupuncture combined with acupoint application group was treated with acupuncture combined with acupoint application on the basis of conventional Western medicine.The intestinal dysfunction score,abdominal circumference and mortality after 4 weeks were compared between the two groups.Results The abdominal circumference and intestinal dysfunction score in acupuncture combined with acupoint application group were significantly lower than those before treatment[(100.56±9.34)cm vs(106.25±9.74)cm;(0.92±0.72)point vs(2.31±0.69)point,all P<0.05],while there was no significant difference in the above indexes before and after treatment in the Western medicine treatment group(all P>0.05).The abdominal circumference,intestinal dysfunction score and mortality after 4 weeks in the acupuncture combined with acupoint application group were significantly lower than those in the Western medicine treatment group[(100.56±9.34)cm vs(108.09±10.52)cm;(0.92±0.72)point vs(2.43±0.62)point;(29.7%,19/64)vs(48.9%,23/47),all P<0.05].Conclusions The curative effect of acupuncture combined with acupoint application in the treatment of intestinal dysfunction secondary to mechanical ventilation in elderly patients with sepsis in emergency is better than that of routine treatment of Western medicine alone.The gastrointestinal function and prognosis of patients have been significantly improved,which is worthy of clinical promotion.
作者
李莉
晏军
吴彩军
马林沁
郑广明
果海凤
王健
杨喆
牛丽强
Li Li;Yan Jun;Wu Caijun;Ma Linqin;Zheng Guangming;Guo Haifeng;Wang Jian;Yang Zhe;Niu Liqiang(Department of Emergency,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Sepsis Research Institute,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《中国医师杂志》
CAS
2022年第4期486-489,共4页
Journal of Chinese Physician
基金
中央高校基本科研业务费专项资金资助(2019-JYB-JS-083)
首都卫生发展科研专项项目(2020-2-4192)。
关键词
脓毒症
机械通气
肠功能障碍
针灸疗法
穴位贴敷法
Sepsis
Mechanical ventilation
Intestinal dysfunction
Acupuncture-moxibustion
Acupoint sticking therapy
