Abstract
Background:
Ventilator mode selection and pulmonary rehabilitation are useful for improving prolonged mechanical ventilation patients’ respiratory status. However, integration of Chinese and Western medicine, especially acupuncture treatment for these patients is unknown. The present study aimed to determine the effect of acupuncture on respiratory indices in patients who underwent mechanical ventilation in Respiratory Care Center (RCC) after transfer from the ICU.
Methods:
This randomized clinical trial was conducted in RCC of Taiwan middle medical center.Eighty patients were recruited and underwent hemodynamic stable.GCS>9 and eligible for more than 21 days mechanical ventilation.The following 8 standardised acupuncture points were selected according to previous research: lung meridian，LU5; large intestine meridian，LI4 ; conception vessel，CV4; stomach meridian，ST36
Results:
This randomized clinical trial was conducted in RCC of Taiwan middle medical center. Eighty patients were recruited and underwent hemodynamic stable. GCS>9 and eligible for more than 21 days mechanical ventilation. The following 8 standardized acupuncture points were selected according to previous research: lung meridian，LU5; large intestine meridian，LI4 ; conception vessel，CV4; stomach meridian，ST36.37.39; liver meridian, LR3; pericardium, PC6; and spleen meridian，SP6 sustain 20 min and 6 times a week for 2 weeks that before and immediately after acupuncture were extracted from the medical records.
Conclusions:
The mean age was 60.8 years and median number of days on MV before acupuncture initiation was 23.5 days. PI max and PE max were significantly increased immediately after acupuncture (all P < .001) whereas RSBI and Csta were significantly improved (all P < .05). 57 patients were successfully weaned (71 %) from MV after acupuncture initiation above weaning rate of RCC in Taiwan.
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