摘要
目的:探究揿针疗法配合耳穴压籽对急进高原人群高原反应、胃肠应激反应及血清CRP水平的影响。方法:选取2023年1月~2023年12月期间急进高原的60例成年健康人作为研究对象,简单随机分为对照组和观察组,每组30例,对照组行常规干预,不采取任何针刺干预,观察组运用揿针疗法联合耳穴压籽。比较两组进入高原第1d、进入高原第3d、进入高原第5d的高原反应症状评分、胃肠应激反应、生理指标(血氧饱和度、心率、收缩压、舒张压、呼吸频率)及血清CRP变化,并对比两组进入高原前1d、进入高原第3d、进入高原第5d的血红蛋白和皮质醇水平。结果:进入高原第1d、第3d及第5d,两组高原反应症状评分逐渐降低,组内不同时间点比较差异显著(P<0.05),且观察组进入高原第5d评分显著低于对照组(P<0.05);进入高原第1d、第3d及第5d,两组胃肠应激症状评分逐渐降低,组内不同时间点比较差异显著(P<0.05),且观察组进入高原第1d、3d及5d的评分均低于对照组(P<0.05);SpO_(2)、HR、收缩压、舒张压、RR组间、时间点及交互比较,差异均有统计学意义(P<0.05),观察组进入高原第3d及5d SpO_(2)均高于对照组(P<0.05),观察组进入高原第3d及5d收缩压、RR均低于对照组(P<0.05),观察组进入高原第5d HR、舒张压均低于对照组(P<0.05);进入高原后1d及第5d,两组CRP水平均高于进入高原前1d,进入高原后第5d,两组CRP水平均低于进入高原后第1d及3d(P<0.05),且观察组进入高原后第5d时CRP水平低于对照组(P<0.05);进入高原后第1d及第5d,两组血红蛋白、血浆皮质醇水平均高于进入高原前1d,进入高原后第5d,两组血红蛋白、血浆皮质醇水平均低于进入高原后第1d(P<0.05),且观察组进入高原后第5d时血浆皮质醇低于对照组(P<0.05)。结论:揿针疗法联合耳穴压籽可改善急进高原人群的急性高原反应症状和胃肠应激状态,改善患者血氧饱和度、血压和呼吸频率,缓解体内应激反应和炎症反应,具有临床应用价值。
Objective:To explore the influence of press-needle therapy combined with auricular point pressing with seeds on acute high altitude reaction symptom,gastrointestinal stress response and serum inflammation level in population with rush entry into plateau.Methods:From January 2023 to December 2023,60 healthy adults with rush entry into plateau were selected as the research subjects,and they were divided into control group(37 cases)and observation group(37 cases)by means of the simple randomization.The control group was treated with routine intervention and did not perform any acupuncture intervention,while the observation group was given press-needle therapy combined with auricular point pressing with seeds.The changes of high altitude reaction symptom score,gastrointestinal stress response,physiological indicators(blood oxygen saturation,heart rate,systolic blood pressure,diastolic blood pressure,respiratory rate)and serum CRP were compared between the two groups on the 1st day,3rd day an 5th days of entry into plateau,and the hemoglobin and cortisol levels on the 1stday and the 5th day of entry into plateau were compared.Results:On the 1st,3rd and 5th days of entry into plateau,the score of high altitude reaction symptom in the two groups was decreased gradually,and there was a significant difference within the groups at different time points(P<0.05),and the score in observation group on the 5th day of entry into plateau was significantly lower than that in control group(P<0.05).On the 1st,3rd and 5th days of entry into plateau,the gastrointestinal stress symptom score was gradually declined in both groups,with a significant difference at different time points within the groups(P<0.05),and the scores in observation group on the 1st,3rd and 5th days of entry into plateau were lower than those in control group(P<0.05).There were statistically significant differences in SpO_(2),HR,systolic blood pressure,diastolic blood pressure and RR from the aspects of between-group,time-point and interaction(P<0.05).The SpO_(2) in observation group on the 3rd day and 5th day of entry into plateau was higher than that in control group(P<0.05)while the systolic blood pressure and RR were lower than those in control group(P<0.05).The HR and diastolic blood pressure in observation group on the 5th day of entry into plateau were lower compared with those in control group(P<0.05).On the 1st day and 5th day of entry into plateau,the CRP level in both groups was higher than that at 1day before entry into plateau,and the CRP level in both groups on the 5th day of entry into plateau was lower than that on the 1st day and 3rdday of entry into plateau(P<0.05),and the CRP level in observation group was lower compared to control group on the 5th day of entry into plateau(P<0.05).On the 1st day and 5th day of entry into plateau,the hemoglobin and plasma cortisol levels in both groups were higher than those at 1day before entry into plateau,and the levels of hemoglobin and plasma cortisol in the two groups were declined on the 5th day of entry into plateau than those on the 1st day of entry into plateau(P<0.05),and the plasma cortisol in observation group on the 5th day of entry into plateau was lower(P<0.05).Conclusion:Press-needle therapy combined with auricular point pressing with seeds can improve the acute high altitude reaction symptom and gastrointestinal stress in population with rush entry into plateau,enhance the blood oxygen saturation,blood pressure and respiratory rate,and alleviate the body’s stress response and inflammatory response,and it has clinical application value.
作者
杨华
唐波
YANG Hua;TANG Bo(Rehabilitation Department of Sichuan Electric Power Hospital,Chengdu,Sichuan 610065,China)
出处
《四川中医》
2025年第1期198-202,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省自然科学基金项目(编号:2022NSFSC0861)。
关键词
揿针疗法
耳穴压籽
急进高原
急性高原反应
Press-needle therapy
Auricular point pressing with seeds
Rush entry into plateau
Acute high altitude reaction
