辅助针灸可改善 COVID-19 重症肺炎患者的呼吸状况和机械通气的断奶情况

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Medical Acupuncture Pub Date : 2024-02-01 Epub Date: 2024-02-13 DOI:10.1089/acu.2023.0064
Jun Matsumoto-Miyazaki, Hideshi Okada, Tomotaka Miura, Keisuke Kumada, Genki Naruse, Nagisa Miyazaki, Kodai Suzuki, Shozo Yoshida, Shinji Ogura, Hiroyuki Okura
{"title":"辅助针灸可改善 COVID-19 重症肺炎患者的呼吸状况和机械通气的断奶情况","authors":"Jun Matsumoto-Miyazaki, Hideshi Okada, Tomotaka Miura, Keisuke Kumada, Genki Naruse, Nagisa Miyazaki, Kodai Suzuki, Shozo Yoshida, Shinji Ogura, Hiroyuki Okura","doi":"10.1089/acu.2023.0064","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A patient with severe COVID-19 pneumonia had adjunctive acupuncture to improve respiration and facilitate weaning off prolonged mechanical ventilation (MV).</p><p><strong>Case: </strong>A man in his 40s with COVID-19 was in an advanced critical-care center on symptom day 5 for respiratory failure due to pneumonia requiring MV therapy. He received high-dose corticosteroid pulse therapy, antiviral agents, and multiple antibiotics for complicated bacterial pneumonia and bacteremia. Repeated MV weaning attempts failed, although his pneumonia gradually improved. Then, acupuncture 4 times per week was started to improve his respiration and facilitate MV weaning from day 49 of his symptoms' onset.</p><p><strong>Results: </strong>His weaning-related indices improved, including reductions in respiratory rate and Rapid Shallow Breath Index. His O<sub>2</sub> saturation increased immediately after each acupuncture treatment. The day after the first acupuncture treatment, his MV support was reduced by changing ventilation mode from synchronized intermittent mandatory ventilation mode to continuous positive airway pressure (CPAP) mode during the day without exacerbation of respiratory status. After 3 days of acupuncture, this patient was on CPAP support alone. MV therapy was discontinued completely after 8 days of acupuncture (6th acupuncture treatment).</p><p><strong>Conclusions: </strong>Acupuncture improved respiration and facilitated MV weaning in a patient with respiratory failure secondary to COVID-19. Adjunctive acupuncture may benefit such patients and others after severe pneumonia. Large cohort studies are needed.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874821/pdf/","citationCount":"0","resultStr":"{\"title\":\"Adjunct Acupuncture Improved Respiratory Status and Weaning from Mechanical Ventilation After Severe COVID-19 Pneumonia.\",\"authors\":\"Jun Matsumoto-Miyazaki, Hideshi Okada, Tomotaka Miura, Keisuke Kumada, Genki Naruse, Nagisa Miyazaki, Kodai Suzuki, Shozo Yoshida, Shinji Ogura, Hiroyuki Okura\",\"doi\":\"10.1089/acu.2023.0064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A patient with severe COVID-19 pneumonia had adjunctive acupuncture to improve respiration and facilitate weaning off prolonged mechanical ventilation (MV).</p><p><strong>Case: </strong>A man in his 40s with COVID-19 was in an advanced critical-care center on symptom day 5 for respiratory failure due to pneumonia requiring MV therapy. He received high-dose corticosteroid pulse therapy, antiviral agents, and multiple antibiotics for complicated bacterial pneumonia and bacteremia. Repeated MV weaning attempts failed, although his pneumonia gradually improved. Then, acupuncture 4 times per week was started to improve his respiration and facilitate MV weaning from day 49 of his symptoms' onset.</p><p><strong>Results: </strong>His weaning-related indices improved, including reductions in respiratory rate and Rapid Shallow Breath Index. His O<sub>2</sub> saturation increased immediately after each acupuncture treatment. The day after the first acupuncture treatment, his MV support was reduced by changing ventilation mode from synchronized intermittent mandatory ventilation mode to continuous positive airway pressure (CPAP) mode during the day without exacerbation of respiratory status. After 3 days of acupuncture, this patient was on CPAP support alone. MV therapy was discontinued completely after 8 days of acupuncture (6th acupuncture treatment).</p><p><strong>Conclusions: </strong>Acupuncture improved respiration and facilitated MV weaning in a patient with respiratory failure secondary to COVID-19. Adjunctive acupuncture may benefit such patients and others after severe pneumonia. Large cohort studies are needed.</p>\",\"PeriodicalId\":45511,\"journal\":{\"name\":\"Medical Acupuncture\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874821/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Acupuncture\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/acu.2023.0064\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/2/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Acupuncture","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/acu.2023.0064","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

背景:一名患有严重 COVID-19 肺炎的患者通过辅助针灸改善了呼吸,并帮助其脱离了长时间的机械通气(MV):一名 40 多岁的 COVID-19 患者在症状出现第 5 天因肺炎导致呼吸衰竭而入住高级重症监护中心,需要接受 MV 治疗。他因并发细菌性肺炎和菌血症接受了大剂量皮质类固醇脉冲治疗、抗病毒药物和多种抗生素治疗。虽然他的肺炎逐渐好转,但多次尝试中压断奶均告失败。然后,从他发病的第 49 天开始,每周针灸 4 次,以改善他的呼吸,促进中风断奶:结果:他的断奶相关指标有所改善,包括呼吸频率和快速浅呼吸指数下降。每次针灸治疗后,他的氧气饱和度都会立即升高。第一次针灸治疗后的第二天,通过将通气模式从同步间歇强制通气模式改为白天持续气道正压(CPAP)模式,减少了对他的 MV 支持,呼吸状况没有恶化。针灸 3 天后,该患者只需使用 CPAP 支持。针灸 8 天后(第 6 次针灸治疗),患者完全停止了 MV 治疗:结论:针灸可改善 COVID-19 继发性呼吸衰竭患者的呼吸,促进中压治疗的断奶。结论:针灸可改善一名继发于 COVID-19 的呼吸衰竭患者的呼吸并促进中风的断流。需要进行大规模的队列研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adjunct Acupuncture Improved Respiratory Status and Weaning from Mechanical Ventilation After Severe COVID-19 Pneumonia.

Background: A patient with severe COVID-19 pneumonia had adjunctive acupuncture to improve respiration and facilitate weaning off prolonged mechanical ventilation (MV).

Case: A man in his 40s with COVID-19 was in an advanced critical-care center on symptom day 5 for respiratory failure due to pneumonia requiring MV therapy. He received high-dose corticosteroid pulse therapy, antiviral agents, and multiple antibiotics for complicated bacterial pneumonia and bacteremia. Repeated MV weaning attempts failed, although his pneumonia gradually improved. Then, acupuncture 4 times per week was started to improve his respiration and facilitate MV weaning from day 49 of his symptoms' onset.

Results: His weaning-related indices improved, including reductions in respiratory rate and Rapid Shallow Breath Index. His O2 saturation increased immediately after each acupuncture treatment. The day after the first acupuncture treatment, his MV support was reduced by changing ventilation mode from synchronized intermittent mandatory ventilation mode to continuous positive airway pressure (CPAP) mode during the day without exacerbation of respiratory status. After 3 days of acupuncture, this patient was on CPAP support alone. MV therapy was discontinued completely after 8 days of acupuncture (6th acupuncture treatment).

Conclusions: Acupuncture improved respiration and facilitated MV weaning in a patient with respiratory failure secondary to COVID-19. Adjunctive acupuncture may benefit such patients and others after severe pneumonia. Large cohort studies are needed.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信