上海针灸杂志2018，Vol.37Issue(2)：170-173,4.DOI:10.13460/j.issn.1005-0957.2018.02.0170
按摩天突穴刺激咳嗽排痰在颅脑损伤患者中的作用研究
Effect of Massage at Tiantu (CV22) in Promoting Cough and Expectoration in Craniocerebral Trauma Patients
摘要
Abstract
Objective To observe the effect of massage at Tiantu (CV22) in promoting expectoration in craniocerebral trauma patients, and to lessen complications. Method Fifty craniocerebral trauma patients after extubation were randomized into a control group and a treatment group, 25 cases each. The control group was intervened by nebulization plus tapping back to promote cough and expectoration, while the treatment group was additionally given massage at Tiantu. For successive 3 days, the oxygen saturation, atelectasis and arrhythmias were observed and recorded before and after treatment in the morning, at midday and night, as well as the re-intubation rate, cough and expectoration induced by the treatment in the morning, at midday and night during the 3 days. Result The total effective rate in causing cough and expectoration and the increase of oxygen saturation in the treatment group were significantly higher than those in the control group, while the occurrence of complications including atelectasis and arrhythmias and re-intubation rate in the treatment group were significantly lower than those in the control group (P<0.05). Conclusion Massage at Tiantu is helpful to enhance the oxygen saturation and promote cough and expectoration in craniocerebral trauma patients, and it can lessen the occurrence of complications, thus worth applying in clinic.关键词
穴,天突/脑损伤/排痰/按摩/推拿/护理Key words
Point,Tiantu (CV22)/Brain injury/Expectoration/Massage/Massotherapy/Nursing分类
医药卫生引用本文复制引用
吴小飞,余娅娟..按摩天突穴刺激咳嗽排痰在颅脑损伤患者中的作用研究[J].上海针灸杂志,2018,37(2):170-173,4.基金项目
浙江省医药卫生科技计划项目(2014KYA160) （2014KYA160）
