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Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial

BACKGROUND: In intensive care units, mechanical ventilation is an important therapy to help patients with dyspnea. However, long-term ventilator dependence would consume huge medical resources and increase the risk of morbidity and mortality. The aim of the study was to examine the efficacy of the a...

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Autores principales: Chen, Jia-Ming, Chiang, Wan-Li, Ji, Bin-Chuan, Jhang, Ruei-Jhe, Chen, Pei-Hsin, Li, Ya-Lun, Chang, Che-Ju, Huang, Sung-Yen, Lee, Tsung-Chieh, Chen, Chia-Yun, Lin, Ching-Hsiung, Lin, Sheng-Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685379/
https://www.ncbi.nlm.nih.gov/pubmed/38033650
http://dx.doi.org/10.1016/j.imr.2023.100997
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author Chen, Jia-Ming
Chiang, Wan-Li
Ji, Bin-Chuan
Jhang, Ruei-Jhe
Chen, Pei-Hsin
Li, Ya-Lun
Chang, Che-Ju
Huang, Sung-Yen
Lee, Tsung-Chieh
Chen, Chia-Yun
Lin, Ching-Hsiung
Lin, Sheng-Hao
author_facet Chen, Jia-Ming
Chiang, Wan-Li
Ji, Bin-Chuan
Jhang, Ruei-Jhe
Chen, Pei-Hsin
Li, Ya-Lun
Chang, Che-Ju
Huang, Sung-Yen
Lee, Tsung-Chieh
Chen, Chia-Yun
Lin, Ching-Hsiung
Lin, Sheng-Hao
author_sort Chen, Jia-Ming
collection PubMed
description BACKGROUND: In intensive care units, mechanical ventilation is an important therapy to help patients with dyspnea. However, long-term ventilator dependence would consume huge medical resources and increase the risk of morbidity and mortality. The aim of the study was to examine the efficacy of the acupuncture combined with western medical care on ventilator parameters in ventilator-dependent patients. METHODS: In this clinical trial, 80 ventilator-dependent patients aged 20 to 80 years old were randomly assigned to acupuncture group and control group in the respiratory care center (RCC) of Changhua Christian Hospital. Besides regular medical care and therapy, participants in the acupuncture group received acupuncture therapy at the same 17 acu-points for 20 minutes once a day, a total of 12 sessions. The ventilator parameters were recorded to evaluate the respiratory efficiency for all participants. The primary outcome was rapid shallow breathing index (RSBI), and secondary outcomes were respiratory rate (RR), tidal volume (TV) and ventilation per minute (MV), RESULTS: Though there was no significant difference in the parameter between the acupuncture group and the control group, we found the trend of decreasing RSBI in the acupuncture group. In subgroup analyses, the mean of RSBI significantly decreased 16.02 (with the SD in 60.84) in acupuncture group, while it increased 17.84 (with the SD in 39.38) in control group (p=0.036) after 12 sessions. CONCLUSION: Acupuncture treatment can improve breathing ability of patients with respirator dependence in respiratory care center.
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spelling pubmed-106853792023-11-30 Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial Chen, Jia-Ming Chiang, Wan-Li Ji, Bin-Chuan Jhang, Ruei-Jhe Chen, Pei-Hsin Li, Ya-Lun Chang, Che-Ju Huang, Sung-Yen Lee, Tsung-Chieh Chen, Chia-Yun Lin, Ching-Hsiung Lin, Sheng-Hao Integr Med Res Original Article BACKGROUND: In intensive care units, mechanical ventilation is an important therapy to help patients with dyspnea. However, long-term ventilator dependence would consume huge medical resources and increase the risk of morbidity and mortality. The aim of the study was to examine the efficacy of the acupuncture combined with western medical care on ventilator parameters in ventilator-dependent patients. METHODS: In this clinical trial, 80 ventilator-dependent patients aged 20 to 80 years old were randomly assigned to acupuncture group and control group in the respiratory care center (RCC) of Changhua Christian Hospital. Besides regular medical care and therapy, participants in the acupuncture group received acupuncture therapy at the same 17 acu-points for 20 minutes once a day, a total of 12 sessions. The ventilator parameters were recorded to evaluate the respiratory efficiency for all participants. The primary outcome was rapid shallow breathing index (RSBI), and secondary outcomes were respiratory rate (RR), tidal volume (TV) and ventilation per minute (MV), RESULTS: Though there was no significant difference in the parameter between the acupuncture group and the control group, we found the trend of decreasing RSBI in the acupuncture group. In subgroup analyses, the mean of RSBI significantly decreased 16.02 (with the SD in 60.84) in acupuncture group, while it increased 17.84 (with the SD in 39.38) in control group (p=0.036) after 12 sessions. CONCLUSION: Acupuncture treatment can improve breathing ability of patients with respirator dependence in respiratory care center. Elsevier 2023-12 2023-10-17 /pmc/articles/PMC10685379/ /pubmed/38033650 http://dx.doi.org/10.1016/j.imr.2023.100997 Text en © 2023 Korea Institute of Oriental Medicine. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Chen, Jia-Ming
Chiang, Wan-Li
Ji, Bin-Chuan
Jhang, Ruei-Jhe
Chen, Pei-Hsin
Li, Ya-Lun
Chang, Che-Ju
Huang, Sung-Yen
Lee, Tsung-Chieh
Chen, Chia-Yun
Lin, Ching-Hsiung
Lin, Sheng-Hao
Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial
title Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial
title_full Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial
title_fullStr Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial
title_full_unstemmed Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial
title_short Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial
title_sort acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: a randomized controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685379/
https://www.ncbi.nlm.nih.gov/pubmed/38033650
http://dx.doi.org/10.1016/j.imr.2023.100997
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