The Clinical Significance Discussion Of Respiratory Rehabilitation Training Combined Acupuncture Therapy In Offline Treatment Of Respiratory Failure Patients

Objective This subject uses the weaning method of patients with respiratory failure as an entry point,Observe the clinical cure effect of respiratory rehabilitation training combined with the traditional chinese medical(TCM)acupuncture therapy in the process of extubation,weaning therapy in the patients who has respiratory failure,To evaluate their effectiveness of respiratory function rehabilitation training and TCM acupuncture therapy in extubation,weaning therapy in patients who has respiratory failure.Methods 102 patients who has respiratory failure has been given treatment of endotracheal intubation hospitalized in the Department of Critical Care Medicine in the Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine as the treatment object of the clinical study,80 patients who has critically ill respiratory failure were finally included after screening,Randomly divided into the control group of critical respiratory failure patients with40 cases,Treatment group of critically ill patients with respiratory failure of 40 cases.Patients in the control group were treated for the original underlying disease according to their condition,When the patients had acute progressive aggravation of respiratory failure and heart failure,They were given symptomatic and supportive active rescue cure.The patients with respiratory failure in the treatment group were trained by the respiratory rehabilitation therapists,There are mainly respiratory function rehabilitation training therapists after the subject of respiratory rehabilitation training on the patient,Training of respiratory function in patients after weaning and extubation:Train patients to have effective cough,Abdominal breathing training,Lip contraction breath training,Respiratory muscle strength exercise,Respiratory muscle endurance exercise,Qigong training,Music therapy,Relaxation therapy,etc.Acupuncture treatment is performed by a TCM professional acupuncturist.After admission,heart rate,blood pressure,respiration,blood oxygen saturation were monitored in patients who has respiratory failure,At the same time,the weaning success rate of the patients who has respiratory failure in the control group and treatment group,The incidence of the acute respiratory failure patients within 28 days,the mortality rate of the patients who has respiratory failure within 90 days,Number of people with ventilator-associated pneumonia and incidence of the right heart failure were recorded respectively,Blood was taken after and before they were been treatmented,Testing white blood cell count,neutrophil,C-reactive protein,oxygenation index,procalcitonin,arterial blood carbon dioxide partial pressure in the two groups.Results Before treatment,The clinical data of the patients with respiratory failure,including sex,age,severity(APACHEⅡscore)and causes of respiratory failure between the two groups were not significant(P>0.05),Indicating that the clinical data of the patients in the control group and the treatment group were basically balanced,can been compared.The patients in control group were treated with original basic disease according to the different condition when the patients had acute progressive aggravation of respiratory failure and heart failure,They were given active rescue treatment such as symptomatic and support.Patients with respiratory failure in the observation group underwent respiratory rehabilitation therapists and acupuncture treatment by TCM professional acupuncture practitioner.After treatment the success rate of respiratory failure in the treatment group was significantly improved(23/40vs.14/40),Decreased recurrence rate of respiratory failure in 28 days(8/23vs.10/14),Mortality decreased within 90 days(11/40vs.20/40),Lower incidence of ventilator-associated pneumonia in patients in the observation group(9/40vs.18/40),The incidence of right heart failure was reduced(6/40vs.14/40),(P<0.05).Patients with respiratory failure in the treatment group underwent respiratory function rehabilitation training been combined with the traditional chinese acupuncture treatment,White blood cells,C reactive protein,percentage of neutrophil,calcitonin than control patients[white blood cells(10~9/L):8.38±4.16vs.14.64±5.07,C-reactive protein(mg/L):80.73±51.47vs.117.49±49.24,Percentage of neutrophils(%):0.76±0.12vs.0.88±0.06,Calcitonin(ng/m L):5.68±4.27vs.10.56±8.64](P<0.05).For respiratory failure of patients in the observation group after respiratory rehabilitation training and acupuncture treatment,Analysis arterial blood gas showed that the carbon dioxide partial pressure was significantly lower(mm Hg)than the control group:38.32±5.41vs.45.00±8.55,(P<0.05),The oxygenation index was significantly higher than the control group:185.75±5.89vs.181.65±7.80(P<0.05).Conclusion 1.Respiratory function rehabilitation training combined with TCM acupuncture treatment can make treatment group of critically ill respiratory failure patients weaning and extubation success rate increased,Reduced incidence of recurrent respiratory failure in 28 days,The case-fatality rate was significantly reduced within 90 days,The incidence of ventilator-associated pneumonia and right heart failure was significantly reduced.2.Respiratory function rehabilitation training combined with TCM acupuncture treatment can make the treatment group critically ill respiratory failure patients with low white blood cells,decreased neutrophils,significantly decreased calcitonin,significantly decreased C-reactive protein,decreased partial carbon dioxide pressure of arterial blood,increased oxygenation index.3.Through respiratory rehabilitation training combined acupuncture treatment can make critically ill respiratory failure patients vital blood oxygen supply fully guarantee,Prevent the respiratory failure and heart failure mutual promotion cause causal vicious cycle,Reduce the critically ill respiratory failure patients condition repeatedly aggravating,Improve the health level of patients with failure and the quality of life.4.Respiratory rehabilitation training combined with acupuncture treatment can effectively train the respiratory muscles of critically ill patients with respiratory failure,restore the spontaneous respiratory function and reduce the dependence of ventilator.