Effect of acupuncture on analgesia and sedation in elderly patients with severe pneumonia during invasive mechanical ventilation.
10.13703/j.0255-2930.20200903-k0004
- Author:
Si-Cheng YUAN
1
;
Wei-Juan CAO
1
;
Yang HUANG
1
;
Sheng-Yi HUA
1
;
Yun-Hang ZHOU
1
;
Rui CAI
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 therapy;
analgesia;
mechanical ventilation;
sedation;
severe pneumonia in elderly patients
- MeSH:
Acupuncture Therapy;
Aged;
Analgesia;
Humans;
Intensive Care Units;
Pain;
Pneumonia;
Respiration, Artificial
- From:
Chinese Acupuncture & Moxibustion
2021;41(9):971-978
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the analgesic and sedative effects of acupuncture in elderly patients with severe pneumonia during invasive mechanical ventilation.
METHODS:A total of 188 elderly patients with severe pneumonia were randomly divided into an observation group and a control group, 94 cases in each group. Both groups were treated with routine nursing and treatment of severe pneumonia such as invasive mechanical ventilation, analgesia and sedation. Based on these, the observation group was treated with acupuncture at Neiguan (PC 6), Hegu (LI 4), Yintang (GV 29) and Baihui (GV 20), twice a day until the mechanical ventilation was offline. The critical care pain observation tool (CPOT) score and Richmond agitation-sedation score (RASS) were observed before treatment and 0.5 h after analgesia and sedation; the average time of reaching the standard, the reaching standard rate of shallow sedation and analgesia within 0.5 h and 72 h as well as the dosage of analgesic and sedative drugs and compilations were compared between the two groups. The mean arterial pressure (MAP), heart rate (HR), respiratory rate (RR) and blood oxygen saturation (SpO
RESULTS:At the time point of 0.5 h after treatment, the CPOT and RASS scores in the two groups were lower than those before treatment (
CONCLUSION:Acupuncture has analgesic and sedative effect in elderly patients with severe pneumonia during invasive mechanical ventilation, which could reduce the dosage of sedative and analgesic drugs and the occurrence of complications, improve blood oxygen, and has good safety.
