Effect of “three-acupoint and five-needle” therapy combined with abdominal pressure lifting on lung rehabilitation in patients with mechanical ventilation

doi:10.3877/cma.j.issn.2095-9133.2024.04.001

Abstract

Abstract:

Objective

To explore the efficacy of“three-acupoint and five-needle”combined with abdominal pressure lifting on lung rehabilitation in patients with mechanical ventilation.

Methods

Thirtysix hospitalized patients with pulmonary invasive mechanical ventilation from July 2021 to February 2023 were randomly divided into two groups： control group and experimental group. The experimental group was treated with“three-acupoint and five-needle”combined with abdominal pressure lifting on the basis of routine treatment in the control group.The clinical efficacy，mechanical ventilation time and 28-day survival rate were compared between the two groups.The indexes of respiratory mechanics and airway clearance were compared between the two groups before getting off the ventilator. The indexes of inflammatory reaction at 1 day，2 days，3 days and 7 days after treatment were compared between the two groups.

Results

The time of mechanical ventilation in the experimental group was significantly lower than that in the control group （P＜0.05）.The 28-day mortality in the experimental group was lower than that in the control group，but there was no significant difference between the two groups （P＞0.05）. The tidal volume and peak expiratory flow before getting off the ventilator in the experimental group were significantly higher than those in the control group（P＜0.05）， and the cough strength score in the experimental group was higher than that in the control group，but there was no significant difference between the two groups （P＞0.05）. The levels of interleukin-6 （IL-6），interleukin-10（IL-10），C-reactive protein （CRP）and lactate decreased gradually in the control group and the experimental group at 1 day， 2 days， 3 days and 7 days after treatment （P＜0.05）. IL-6， IL-10， CRP and lactate in the experimental group were lower than those in the control group at each time point after treatment（P＜0.05）.

Conclusions

The method of“three-acupoint and five-needle”combined with abdominal pressure lifting can better promote the recovery of pulmonary ventilation function， shorten the time of mechanical ventilation and reduce the inflammatory reaction， but cannot reduce the 28-day survival rate of patients with mechanical ventilation.

Key words: Abdominal pressure lifting method, Three-acupoint and five-needle, Mechanical ventilation, Lung rehabilitation

Xiaopeng Liu, Congyan Liu, Ning Yang, Chen Cai, Xiaobing Li, Hongyu Wang, Sisen Zhang. Effect of “three-acupoint and five-needle” therapy combined with abdominal pressure lifting on lung rehabilitation in patients with mechanical ventilation[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2024, 10(04): 193-198.

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Figures/Tables 12

分值	指令
0分	指令不咳嗽
1分	指令下听到气管插管内空气运动，但不可闻咳嗽
2分	弱（勉强）可闻咳嗽
3分	可闻咳嗽
4分	可闻强咳嗽
5分	多次连续强咳嗽

组别	例数	男性［例（%）］	年龄（岁）	SBP（mmHg）	DBP（mmHg）	HR（次/min）	pH	PaCO₂	PaO₂	HCO₃^-	BE	Lac
对照组	18	10（55.6）	72.17±9.01	108.56±10.19	68.33±5.00	81.67±10.54	7.38±0.10	37.95±14.56	80.09±16.74	21.68±5.64	-3.00±4.52	2.27±1.55
实验组	18	8（44.4）	68.72±10.40	103.67±10.48	64.67±7.55	86.44±10.73	7.37±0.09	37.61±10.06	88.19±27.10	21.69±5.32	-3.11±5.41	1.83±1.21
t/χ²/Z值		-	1.06	1.42	1.72	-1.35	0.07	-0.10	-0.78	-0.13	0.07	-0.78
P值		＞0.05	＞0.05	＞0.05	＞0.05	＞0.05	＞0.05	＞0.05	＞0.05	＞0.05	＞0.05	＞0.05

组别	例数	机械通气时间（d， $\bar{x}$ ±s）	28 d病死率［例（%）］
对照组	18	10.30±2.38	8（44.4）
实验组	18	8.92±1.53	6（33.3）
t/χ²值		2.07	-
P值		＜0.05	＞0.05

组别	例数	机械通气时间（d， $\bar{x}$ ±s）	28 d病死率［例（%）］
对照组	18	10.30±2.38	8（44.4）
实验组	18	8.92±1.53	6（33.3）
t/χ²值		2.07	-
P值		＜0.05	＞0.05

组别	例数	CSS（分）	PEF（L/min）	潮气量（mL）
对照组	18	2.67±0.97	64.09±4.89	466.56±31.01
实验组	18	3.00±1.01	68.40±5.39	484.28±19.05
t值		-0.99	-2.51	-2.07
P值		＞0.05	＜0.05	＞0.05

组别	术后时间（d）
组别	1	2	3	7
对照组	112.146±29.925	95.643±24.226	74.696±20.609	44.516±11.354
试验组	109.404±23.730	81.913±13.624	58.768±10.892	32.343±7.386
组间F，P	4.203，0.048
时间F，P	248.649，0.000
交互F，P	2.192，0.129

组别	术后时间（d）
组别	1	2	3	7
对照组	67.753±12.933	57.072±11.522	41.873±11.110	21.703±5.997
试验组	55.473±12.506	44.323±11.553	32.329±8.795	18.772±6.061
组间F，P	10.794，0.002
时间F，P	248.728，0.000
交互F，P	3.984，0.015

组别	术后时间（d）
组别	1	2	3	7
对照组	83.392±35.777	71.009±31.937	56.977±23.797	24.903±5.779
试验组	74.911±24.603	57.849±19.253	35.072±8.276	14.512±4.156
组间F，P	4.543，0.040
时间F，P	131.374，0.000
交互F，P	1.761，0.190

组别	术后时间（d）
组别	1	2	3	7
对照组	2.722±0.857	2.333±0.829	1.778±0.659	1.083±0.385
试验组	2.506±0.389	1.806±0.507	1.317±0.343	0.844±0.271
组间F，P	8.791，0.005
时间F，P	70.250，0.000
交互F，P	0.863，0.387

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