针刺疗法联合穴位贴敷对急性呼吸衰竭机械通气患者血气分析指标、 膈肌功能及炎症免疫指标的影响.

Objective: To observe the effect of acupoint application and acupuncture therapy combined with treatment on blood gas analysis indicators, diaphragm function, and inflammatory immune indicators in patients with acute respiratory failure undergoing mechanical ventilation. Methods: 92 patients with acute respiratory failure who underwent mechanical ventilation at Lu'an Hospital Affiliated to Anhui University of Traditional Chinese Medicine from November 2021 to December 2022 were selected, and they were randomly divided into control group (46 cases for routine treatment) and study group (46 cases for acupuncture therapy combined with acupoint application treatment on the basis of the control group) by random number table method. The blood gas analysis indicators, diaphragm function, inflammatory immune indicators, and gastrointestinal function between the two groups were compared, and the incidence of complications between the two groups were recorded. Results: The oxygenation index (OI), pH, and arterial partial pressure of oxygen (PaO2) before weaning in the study group were higher than those in the control group, while the arterial blood partial pressure of carbon dioxide (PaCO2) was lower than that in the control group (P<0.05). The right diaphragmatic end expiratory thickness (Tdi-ee), inspiratory end thickness (Tdi-ei), and diaphragmatic thickening fraction (TFdi) before weaning in the study group were lower than those in the control group(P<0.05). High sensitivity C-reactive protein (hs-CRP), calcitonin (PCT) and white blood cell count (WBC) before weaning in the study group were lower than those in the control group, and CD4+ was higher than that in the control group (P<0.05). The gastrointestinal function score of the study group before weaning was lower than that of the control group (P<0.05). There was no statistically significant difference in the incidence of complications between the two groups(P>0.05). Conclusion: Acupuncture therapy combined with acupoint application has good application value in improving blood [ABSTRACT FROM AUTHOR]