Effect of Auricular Point Pressing with Beans and Point Application Combined with Conventional Medical and Nursing Measures on Cardiopulmonary Function in Patients with Acute Exacerbation of Chronic Cor Pulmonale
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摘要:
目的:观察耳穴压豆与穴位贴敷联合常规医护措施干预慢性肺源性心脏病急性加重期(AECCP) 患者的临床效果。方法:将90 例AECCP 患者随机分为观察组和对照组各45 例。2 组均予琥珀酸美托洛尔、螺内酯片、注射用头孢曲松钠、盐酸氨溴索口服溶液治疗,并给予综合护理措施。观察组加予耳穴压豆和穴位贴敷。2 组疗程均为7 d。治疗前、治疗7 d 后进行超声心动图检查,检测动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)、肺动脉压及左室射血分数(LVEF),评定主要症状评分和美国纽约心脏病学会(NYHA) 心功能分级。由患者于出院时评价护理满意度。结果:经7 d 治疗,观察组临床疗效优于对照组(P<0.05)。2 组PaO2、LVEF 均较治疗前升高(P<0.01),PaCO2、肺动脉压均较治疗前下降(P<0.01);观察组PaO2、LVEF 均高于对照组,PaCO2、肺动脉压均低于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在现代医学常规药物治疗和护理的基础上给予耳穴压豆和穴位贴敷干预AECCP 患者,可更好地改善呼吸功能,降低肺动脉压,减轻临床症状,改善心力衰竭,提高了临床疗效和患者对护理工作的满意度。
Abstract:
Abstract: Objective: To observe the clinical effect of the therapy of auricular point pressing with beans and point application combined with conventional medical measures on patients with acute exacerbation of chronic cor pulmonale (AECCP). Methods:A total of 90 AECCP patients were randomly divided into the observation group and the control group, 45 cases in each group. Both groups were treated with succinic metoprolol,spironolactone tablets,ceftriaxone sodium for injection and ambroxol hydrochloride oral solution,and were given comprehensive nursing measures. The observation group was additionally given auricular point pressing with beans and point application. The course of treatment in both groups was seven days. Before and seven days after treatment,echocardiography was performed to detect levels of partial arterial blood oxygen pressure(PaO2), partial carbon dioxide pressure(PaCO2), pulmonary artery pressure and left ventricular ejection fraction(LVEF); the score of primary symptoms and the heart function grading of New York Heart Association(NYHA) were assessed;and the nursing satisfaction was evaluated by patient at discharge. Results:After seven days of treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). Both PaO2 and LVEF levels in the two groups were increased when compared with those before treatment(P<0.01), and levels of PaCO2 and pulmonary artery pressure decreased(P<0.01). PaO2 and LVEF levels in the observation group were higher than those in the control group,and levels of PaCO2 and pulmonary artery pressure were lower than those in the control group(P<0.01). The nursing satisfaction was better in the observation group than in the control group(P<0.05). Conclusion:Based on conventional medical treatment and nursing in modern medicine,the therapy of auricular point pressing with beans and point application for AECCP patients, can better improve respiratory function, reduce pulmonary artery pressure, lessen clinical symptoms, and improve heart failure,clinical effect and nursing satisfaction.