针刺四关穴对呼吸衰竭患者机械通气期间人机对抗的影响

目的探讨针剌在呼吸衰竭患者机械通气期间人机对抗的应用价值。方法选择60例机械通气且自主呼吸与呼吸机不同步的呼吸衰竭患者，随机分为两组。对照组30例患者采用单纯静脉注射咪唑安定的方法，治疗组30例采用针刺“四关穴”[合谷（双）、太冲（双）]＋静脉注射咪唑安定的方法保持人机同步与镇静。观察两组患者治疗前后不同时间咪唑安定用量、镇静效果、并发症的差别。结果治疗组与对照组比较具有减少咪唑安定用量（P〈0．05）、减轻镇静深度（P〈0．05）、减少并发症的优点。结论针刺辅助治疗危重患者机械通气期间人机对抗的方法优于单纯西医疗法。

Effects of Acupuncture in Siguan Points on Man-Machine Counteraction in Respiratory Failure Patients during Mechanical Ventilation

Objective To investigate the value of applying acupuncture in patients with respiratory failure(RF)during mechanical ventilation(MV)when there happened man-machine counteraction.Methods Sixty RF patients with nonsynchronous spontaneous breath(SB)during mechanical ventilation were divided into two groups randomly,30 in each group.The control group treated with intravenous midazolam injection,and the treated group with acupuncture in Siguan points combined intravenous midazolam injection to maintain synchronized SB and MV,and to calm patients.The dose of midazolam used,the sedative effect as well as the complications occurred at different time points in the two groups were observed and compared.Results Compared with the control group,advantages such as smaller dose of midazolam used,lighter in deepness of sedation,and less complications were observed in the treated group(all P<0.05).Conclusion Acupuncture auxiliary Western medicine treatment has better effects than that of Western treatment alone in treating RF patients with man-machine counteraction during mechanical ventilation.