摘要
目的在脑电双频指数(BIS)监测下,探究揿针辅助镇静疗法在重症监护病房(ICU)镇静治疗中的临床应用价值。方法选择2024年7月—2025年1月中日友好医院ICU收治的30例重症患者,采用前瞻性自身前后对照法,在常规镇痛镇静药物治疗的基础上联合中医揿针刺激头部情感区、印堂、合谷、内关、足三里,比较治疗前后的BIS、瑞芬太尼和丙泊酚使用剂量、呼吸及循环功能、乳酸水平等。结果揿针治疗(21.90±13.67)min后BIS值下降至稳定,降幅为(5.73±1.42)(P<0.05);揿针治疗后8 h内丙泊酚使用剂量较前减少(1.08±0.33)mg/kg(P<0.05);治疗前后患者心率、血压、氧合指数、乳酸水平差异无统计学意义(均P>0.05)。结论揿针辅助镇静治疗能改善患者镇静效果,减少丙泊酚镇静药物的使用剂量,且具有良好的安全性。
ObjectiveTo explore the clinical application value of press-needle assisted sedation therapy in sedation treatment of intensive care unit(ICU)under bispectral index(BIS)monitoring.MethodsA total of 30 critically ill patients admitted to the ICU of the China-Japan Friendship Hospital from July 2024 to January 2025 were selected.A prospective self before-after control method was used.On the basis of conventional analgesic and sedative drug treatment,traditional Chinese medicine press-needles were combined to stimulate the head emotion area,Yintang(GV29),Hegu(LI4),Neiguan(PC6),and Zusanli(ST36).The BIS,dosages of remifentanil and propofol,respiratory and circulatory functions,and lactate levels before and after treatment were compared.ResultsThe BIS value dropped to stability(21.90±13.67)min after press-needle treatment,with a decrease of(5.73±1.42)(P<0.05).The dosage of propofol within 8 h after press-needle treatment was reduced by(1.08±0.33)mg/kg compared with that before treatment(P<0.05).There were no significant differences in heart rate,blood pressure,oxygenation index,and lactate level before and after treatment(all P>0.05).ConclusionsPress-needle assisted sedation therapy can improve the sedative effect,reduce the dosage of propofol sedatives,and has good safety.
作者
谢慧泽
原子涵
吴筱箐
李涛
段军
Xie Huize;Yuan Zihan;Wu Xiaoqing;Li Tao;Duan Jun(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Critical Care Medicine,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中国医师杂志》
2025年第6期876-879,共4页
Journal of Chinese Physician
基金
中日友好医院高水平医院临床业务费专项临床研究项目(2022NHLHCRF-LX-03)。
关键词
揿针
镇静
脑电双频指数
Intradermal needle
Sedation
Consciousness monitor
