观察电刺激背俞穴配合外源性膈肌起搏(EDP)模式对气管切开脑卒中患者呼吸功能及拔管成功率的影响。从2022年1月至2023年2月,共有200例中风后接受气管造口术的患者被纳入这项研究。根据是否使用电针分为2组:EDP电针组和EDP组。我们评估了两组之间咳嗽反射评分和临床肺部感染评分的差异。和测量的血气分析指标水平,膈肌功能,肺功能,最大吸气压力,两组的最大呼气压。EDP+电针组总有效率为91.00%(91/100),高于EDP组的80.00%(80/100)(P<0.05)。治疗后,两组患者的临床肺部感染评分和咳嗽反射评分均较治疗前有所下降,EDP+电针组评分低于EDP组(P<0.05)。治疗后,pH值,动脉血氧分压,与治疗前相比,氧合指数均增加,EDP+电针组显示高于EDP组(P<0.05)。治疗后,与治疗前相比,两组均显示动脉二氧化碳压下降,EDP+电针组的PaCO2水平低于EDP组(P<0.05)。治疗后,两组均显示用力肺活量占预测值的百分比(FVC%)增加,隔膜厚度,隔膜流动性,最大吸气压力,最大呼气压力,第一秒用力呼气量占预测值的百分比(FEV1%),与治疗前相比,隔膜收缩速度。此外,与EDP组相比,EDP电针组的这些参数值更高(P<0.05)。EDP+电针组较EDP组平均拔管时间短、拔管成功率高(P<0.05)。EDP模式和电针背部hu穴相结合似乎可以有效改善气管切开中风患者的肺功能和膈肌功能。它还导致更短的拔管时间和更高的拔管成功率。
To observe of the effect of electrical stimulation at the back-shu acupoint with extrinsic diaphragmatic pacing (EDP) mode on respiratory function and extubation success rate in tracheostomized stroke patients. A total of 200 patients who underwent tracheostomy after a stroke from January 2022 to February 2023 were included in this study. They were divided into 2 groups based on whether electroacupuncture was used: the EDP + electroacupuncture group and the EDP group. We assessed the differences in cough reflex scores and clinical lung infection scores between the 2 groups, and measured levels of blood gas analysis indicators, diaphragmatic function, lung function, maximum inspiratory pressure, and maximum expiratory pressure in both groups. The total effective rate in the EDP + electroacupuncture group was 91.00% (91/100), which was higher than the EDP group\'s 80.00% (80/100) (P < .05). After treatment, both groups showed a decrease in clinical lung infection scores and cough reflex scores compared to before treatment, with the EDP + electroacupuncture group having lower scores than the EDP group (P < .05). After treatment, the pH value, arterial oxygen pressure, and oxygenation index all increased compared to before treatment, with the EDP + electroacupuncture group showing higher values than the EDP group (P < .05). After treatment, both groups showed a decrease in arterial carbon dioxide pressure compared to before treatment, with the EDP + electroacupuncture group having lower PaCO2 levels than the EDP group (P < .05). After treatment, both groups showed an increase in forced vital capacity as a percentage of predicted value (FVC%), diaphragm thickness, diaphragm mobility, maximum inspiratory pressure, maximum expiratory pressure, forced expiratory volume in the first second as a percentage of predicted value (FEV1%), and diaphragm contraction speed compared to before treatment. Additionally, the EDP + electroacupuncture group had higher values in these parameters compared to the EDP group (P < .05). The EDP + electroacupuncture group had a shorter average extubation time and a higher extubation success rate compared to the EDP group (P < .05). The combination of EDP mode and electroacupuncture at the back-shu acupoint appears to be effective in improving lung function and diaphragmatic function in tracheostomized stroke patients. It also leads to a shorter extubation time and higher extubation success rates.