Effect of acupuncture on diaphragmatic function in patients with AECOPD typeⅡ respiratory failure evaluated by ultrasound detection.
10.13703/j.0255-2930.20200606-k0007
- Author:
Si-Cheng YUAN
1
;
Xiao-Ling HUANG
1
;
Sheng-Yi HUA
1
;
Yun-Hang ZHOU
1
;
Qing-Lin RUI
1
Author Information
1. Department of Emergency, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu Province, China.
- Publication Type:Randomized Controlled Trial
- Keywords:
acupuncture treatment;
acute exacerbation of chronic obstructive pulmonary disease;
diaphragm thickening fraction (TFdi);
randomized controlled trial (RCT);
type Ⅱ respiratory failure
- MeSH:
Acupuncture Points;
Acupuncture Therapy;
Diaphragm;
Humans;
Pulmonary Disease, Chronic Obstructive/therapy*;
Respiratory Insufficiency/therapy*
- From:
Chinese Acupuncture & Moxibustion
2021;41(7):703-710
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the therapeutic effect of acupuncture combined with western conventional therapy on type Ⅱ respiratory failure of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and evaluate the effect of acupuncture on diaphragmatic function and prognosis by bedside ultrasound.
METHODS:A total of 111 patients with AECOPD type Ⅱ respiratory failure were randomized into an acupuncture group, a conventional treatment group and a non-acupoint acupuncture group, 37 cases in each one. The routine AECOPD nursing care and treatment with western medicine were provided in the 3 groups. Additionally, in the acupuncture group, acupuncture was applied at Dingchuan (EX-B 1), Feishu (BL 13), Taiyuan (LU 9), Danzhong (CV 17) and Zhongwan (CV 12), etc. In the non-acupoint acupuncture group, acupuncture was given at the points 5 to 10 mm lateral to each of the acupoints selected in the acupuncture group. Acupuncture was given once every day, 30 min each time, consecutively for 10 days in the above two groups. Separately, before treatment, on day 3, 7 and 10 of treatment, arterial partial pressure of oxygen (PaO
RESULTS:On day 3, 7 and 10 of treatment, PaO
CONCLUSION:Acupuncture as adjunctive therapy achieves significant therapeutic effect on AECOPD type Ⅱ respiratory failure. It improves diaphragmatic function, promotes oxygenation and relieves carbon dioxide retention of artery, alleviates clinical symptoms and reduces the time of mechanic ventilation and hospitalization. Besides, the bedside ultrasound detection can objectively reflect the effect of acupuncture on diaphragmatic function in the patients with AECOPD complicated with typeⅡrespiratory failure.
