體外振動(dòng)排痰機(jī)在COPD患者中應(yīng)用的效果觀察

《體外振動(dòng)排痰機(jī)在COPD患者中應(yīng)用的效果觀察》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。

1、—500—重慶醫(yī)科大學(xué)學(xué)報(bào)2008年第33卷第4期(JournalofChongqingMedicalUniversity2008.Vol.33No.4)臨床研究文章編號(hào):0253-3626(2008)04-0500-03體外振動(dòng)排痰機(jī)在COPD患者中應(yīng)用的效果觀察劉雨村,丁敏,何海燕,唐麗,彭其玉(重慶醫(yī)科大學(xué)附屬第一醫(yī)院肺科,重慶400016)【摘要】目的:觀察體外振動(dòng)排痰機(jī)在慢性阻塞性肺疾病(Chronicobstructivedpulmonarydisease,COPD)患者中應(yīng)用的效果。方法:

2、65例COPD患者,隨機(jī)分為實(shí)驗(yàn)組(33人)和對(duì)照組(32人),實(shí)驗(yàn)組采用體外振動(dòng)排痰機(jī)排痰,對(duì)照組采用人工叩擊方法排痰。比較兩組患者1周內(nèi)的每天排痰量;吸氧3L/min情況下第1d和第4d的心率、呼吸、SPO2和動(dòng)脈血?dú)庵笜?biāo);入院第7d時(shí)不吸氧情況下的SPO2。結(jié)果:實(shí)驗(yàn)組第1、2、3、4、5d日排痰量明顯增加,第6、7d排痰量小于對(duì)照組,2組比較有顯著差異;實(shí)驗(yàn)組入院第3d患者的心率、呼吸較入院時(shí)明顯下降,動(dòng)脈血?dú)庵笜?biāo)第1d與第3d比較差異有統(tǒng)計(jì)學(xué)意義;對(duì)照組入院第3d患者的心率、呼吸下降不明顯,動(dòng)

3、脈血?dú)庵笜?biāo)第1d與入院第3d比較,差異無(wú)統(tǒng)計(jì)學(xué)意義。停止吸氧30min后的SPO2顯示實(shí)驗(yàn)組比對(duì)照組明顯提高。結(jié)論:體外振動(dòng)排痰機(jī)排痰效果明顯由于人工叩擊排痰法,且減少了醫(yī)護(hù)人員的勞動(dòng)強(qiáng)度,有利于提高醫(yī)療護(hù)理質(zhì)量和縮短住院時(shí)間,患者容易接受?！娟P(guān)鍵詞】慢性阻塞性肺疾病;振動(dòng)排痰【中國(guó)圖書資料分類法分類號(hào)】R563.1【文獻(xiàn)標(biāo)識(shí)碼】B【收稿日期】2007-11-20Observationontheapplicationofextrasomaticvibrationsputumdischargemachin

4、etopatientswithCOPDLIUYu-cun,etal(DepartmentofPneumology,theFirstAffiliatedHospital,ChongqingMedicalUniversity)【Abstract】Objective:ToobservetheeffectivenessofextrasomaticvibrationsputumdischargemachinetopatientswithCOPD.Methods:Atotalof65casesofCOPDwerer

5、andomlydividedintoexperimentalgroup(n=33)andcontrolgroup(n=32),patientsinexperimentalgroupacceptedextrasomaticvibrationsputumdischargemachine,whilepatientsincontrolgroupacceptedaritificialbeatsputumelimination.Thedailysputumvolumewithin1week,heartrate,re

6、spiration,SPO2andarterybloodgasindexin1dand4dwithoxygeninhalation3L/min,SPO2in7dwithoutoxygeninhalationwerecomparedforthe2groups.Result:Thedailysputumvolumein1d,2d,3d,4d,5dincreasedobviouslyandin6d,7ddecreasednotablyinexperimentalgroupcomparedwithcontrol

7、groupandthedifferencewassignificant.Fortheexperimentalgroup,theheartrateandrespirationdecreasednotablyin3dcompaedwiththosebeforehospitalization,andthearterybloodgasindexhadsignificantdifferencebetween1dand3d.Theheartrateandrespirationofcontrolgroupdidnot

8、decreasesignificantlyin3d,andtherewasnosignificantdifferenceofthearterybloodgasindexbetween1dand3d.After30minwithoutoxygeninhalation,SPO2ofexperimentalgroupincreasedthatofcontrolgroup.Conclusion:Theextrasomaticvibrationspu