Chinese Medicine Treatment Of AECOPD With Respiratory Failure Clinical Observation Of Invasive Mechanical Ventilation Have Abdominal Distension

ObjectiveClinical observation of Four decoction of " sijunzi " Decoction and acupuncture treatment of AECOPD with respiratory failure in patients with invasive mechanical ventilation effect of abdominal distension, effect and Prospect of traditional Chinese medicine combined with western medicine treatment for invasive mechanical ventilation in the gastrointestinal symptoms.MethodsThe cases were divided into:40of the experimental group and the control group, the patients randomly into test group or control groupThe conventional treatment:1) to nasal feeding Domperidone Tablets (domperidone)10mg, every eight hours, the other for gastrointestinal decompression.2) in treating primary diseases:to mechanical ventilation, adjusting mode according to the conditions of patients, according to sputum culture and drug sensitive test of empiric therapy or according to the choice of antimicrobial activity similar to that of antibiotics to relieve bronchial spasm; aminophylline; maintain water, electrolyte and acid-base balance and nutritional supportive treatment.Experimental group:1) according to conventional therapy.2) in patients with bilateral Zusanli acupuncture, power, on the afternoon of the20minutes. By Feeding Four Gentlemen Decoction treatment. Composition is as follows:15g renshen, Baizhu15g, fuling15g gancao6gDecoct with water to300ml, every eight hours, every100ml feeding, daily a agent,Records of the first, second at the end of the treatment of abdominal circumference, abdominal pressure, TCM syndrome integral numerical, and bowel sounds return, exhaust time.ResultsClinical studies have shown that Chinese medicine in the experimental group after treatment than before treatment symptom scores decreased by11.05+1.25, domperidone symptom scores than the control group decreased by7.00+1.25before treatment, the experimental group and the control group than in the treatment of symptom scores former decreased, with statistical significance (P<0.05), and between the two groups was significant difference (P<0.05), the recovery time of bowel sounds in the experimental group treatment program for18.25+3.54hours, exhaust time is29.45+5.0, the recovery time of bowel sounds in the control group was23.8+3.14hours, exhaust time of38.82+4.86hours, the experimental group and promote the recovery of gastric motility prominent effect is called the control group was statistically significant (P<0.05), the experimental group to reduce intra-abdominal pressure9.00+1.11mmH20, medicine control group compared with the previous treatment of intra-abdominal pressure decreased by6.10+0.59mmH20, there are significant differences between the groups and,(P<0.05), the experimental group than in the control group decreased more effective.ConclusionFor lung and spleen deficiency of AECOPD complicated with respiratory failure in patients with invasive mechanical ventilation treatment of Western medicine combined with traditional Chinese medicine abdominal distension, Four Gentlemen Decoction and acupuncture, can effectively relieve the symptoms and signs, and provides a new idea and method for clinical treatment.