Effect of Umbilical Moist-heat Application of Da Chengqitang in Treating Gastrointestinal Motility of AECOPD Combined with Type Ⅱ Respiratory Failure NIV with Abdominal Distension
10.13422/j.cnki.syfjx.20190532
- VernacularTitle: 大承气汤脐部湿热敷治疗AECOPD合并Ⅱ型呼吸衰竭NIV并发腹胀患者胃肠动力的影响
- Author:
Na QI
1
;
Yu-qiang ZHENG
1
;
Su LI
1
;
Chun-lei GAO
1
;
Jin-rong WANG
1
Author Information
1. Hengshui People's Hospital, Hengshui 053000, China
- Publication Type:Research Article
- Keywords:
noninvasive ventilation;
abdominal distention;
Da Chengqitang;
moist-heat application;
gastrointestinal motility
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2019;25(5):79-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the efficacy of umbilical moist-heat application of modified Da Chengqitang in treating ventosity after noninvasive ventilation, and the regulatory effect on level of gastrointestinal motility hormone. Method: One hundred and sixty patients were randomly divided into control group and observation group by random number table. Patients in control group got mosapride citrate tablets, 5 mg/time, 3 times/days. In addition tothe therapy in control group, patients in observation group was also given mbilical moist-heat application of modified Da Chengqitang, 30 min/time, 2 times/day. And a course of treatment was 7 days. Before and after treatment, degree of abdominal distention was measured by a tape and subjective evaluation. Time of recovery of bowel sounds, remission of abdominal distention, exhausting and defecation, and the total time of using respirator, pressure of using respirator, and the total days of using respirator were recorded. And levels of gastrin (GAS), motilin (MTL), vasoactive intestinal peptide (VIP) and somatostatin (SS) were detected. Result: According to the rank sum test, the clinical effect in observation group was superior to that in control group (Z=2.484, P<0.05). Degree of abdominal distention was lower than that in control group (Z=2.456, P<0.05). Difference of abdominal circumference in control group before and after treatment was (14.63±3.76) cm, the observation group is (16.33±4.11) cm, the observation group was more than the control group (P<0.05). The mean time and the total time of using respirator were shorter than those in control group (P<0.05),and pressure was lower than that in control group (P<0.05,P<0.01). And SaO2, PaCO2, GAS, MTL were higher than those in control group, whereas PaCO2, VIP and SS were lower than those in control group (P<0.05,P<0.01). Conclusion: Umbilical moist-heat application of modified Da Chengqitang can relieve abdominal distention and dyspnea, reduce intraperitoneal pressure, improve the recovery of gastrointestinal function, and regulate gastrointestinal hormone level.
