筋膜链贴扎在有创机械通气昏迷患者中的应用

Application of Fascial Chain Taping in Comatose Patients with Invasive Mechanical Ventilation

摘要: 目的：筋膜链贴扎运用到重症昏迷有创机械通气患者中，观察其对吸气时膈肌活动度和厚度的影响。方法：选取27例有创机械通气昏迷患者随机分为对照组14例，观察组13例。对照组采用常规治疗，观察组在常规治疗基础上进行筋膜链贴扎。共干预5天，干预前后均使用彩色多普勒超声评估比较两组患者治疗前后膈肌吸气时活动度、厚度；干预后撤机成功率。结果：两组患者干预前膈肌吸气时活动度、厚度差异均无显著性意义(P > 0.05)；干预5天后观察组膈肌吸气时活动度、厚度比较差异均有显著性意义(P < 0.05)，观察组撤机成功率明显高于对照组，差异有显著性意义(P < 0.05)。结论：筋膜链贴扎疗法能增加有创机械通气昏迷患者膈肌吸气时的活动度和厚度，提高撤机成功率。

Abstract: Objective: Fascial chain taping was applied to critically ill coma patients undergoing invasive mechanical ventilation to observe its effects on diaphragmatic mobility and thickness during inspiration. Methods: 27 patients with invasive mechanical ventilation were randomly divided into 2 groups, 14 patients in control group and 13 patients in observation group. The control group used the conventional treatment, and the observation group performed the fascial chain ligation based on the conventional treatment. The activity and thickness of the diaphragm during the intervention before and after the intervention was recorded for 5 days, and the success rate of the intervention was calculated. Results: No difference in activity and thickness of diaphragm between the two groups before intervention (P > 0.05); the difference in activity and thickness of diaphragm after 5 days after intervention was significant (P < 0.05), and the success rate of withdrawal was significantly higher than the control group, and the difference was significant (P < 0.05). Conclusion: Fascial chain ligation therapy has the potential to enhance the movement and thickness of the diaphragm muscle during inhalation among comatose patients undergoing invasive mechanical ventilation, thereby improving the success rate of weaning from the ventilation.