体外振动排痰机在COPD患者中应用的效果观察  

Observation on the application of extrasomatic vibration sputum discharge machine to patients with COPD

作　　者：刘雨村[1] 丁敏[1] 何海燕[1] 唐丽[1] 彭其玉[1] 

机构地区：[1]重庆医科大学附属第一医院肺科,重庆400016

出　　处：《重庆医科大学学报》2008年第4期500-502,共3页Journal of Chongqing Medical University

摘　　要：目的:观察体外振动排痰机在慢性阻塞性肺疾病(Chronic obstructived pulmonary disease,COPD)患者中应用的效果。方法:65例COPD患者,随机分为实验组(33人)和对照组(32人),实验组采用体外振动排痰机排痰,对照组采用人工叩击方法排痰。比较两组患者1周内的每天排痰量;吸氧3L/min情况下第1d和第4d的心率、呼吸、SPO2和动脉血气指标;入院第7d时不吸氧情况下的SPO2。结果:实验组第1、2、3、4、5d日排痰量明显增加,第6、7d排痰量小于对照组,2组比较有显著差异;实验组入院第3d患者的心率、呼吸较入院时明显下降,动脉血气指标第1d与第3d比较差异有统计学意义;对照组入院第3d患者的心率、呼吸下降不明显,动脉血气指标第1d与入院第3d比较,差异无统计学意义。停止吸氧30min后的SPO2显示实验组比对照组明显提高。结论:体外振动排痰机排痰效果明显由于人工叩击排痰法,且减少了医护人员的劳动强度,有利于提高医疗护理质量和缩短住院时间,患者容易接受。Objective：To observe the effectiveness of extrasomatic vibration sputum discharge machine to patients with COPD. Methods：A total of 65 cases of COPD were randomly divided into experimental group（n=33） and control group（n=32）, patients in experimental group accepted extrasomatic vibration sputum discharge machine,while patients in control group accepted aritificial beat sputum elimination. The daily sputum volume within 1 week, heart rate,respiration,SPO2 and artery blood gas index in ld and 4d with oxygen inhalation 3L/min,SPO2 in 7d without oxygen inhalation were compared for the 2 groups. Result：The daily sputum volume in 1d,2d,3d,4d,5d increased obviously and in 6d,7d decreased notably in experimental group compared with control group and the difference was significant. For the experimental group,the heart rate and respiration decreased notably in 3d compaed with those before hospitalization, and the artery blood gas index had significant difference between ld and 3d. The heart rate and respiration of control group did not decrease significantly in 3d, and there was no significant difference of the artery blood gas index between 1d and 3d. After 30min without oxygen inhalation,SPO2 of experimental group increased that of control group. Conclusion：The extrasomatic vibration sputum discharge machine is better than aritificlal beat sputum elimination,which decrease the labour intensity of medicine and nursing staff as well as improves nursing quality and shortes hospitalization time. Further,it is easy for the patients to accept it.

关 键 词：慢性阻塞性肺疾病 振动排痰 

分 类 号：R563.1[医药卫生—呼吸系统]