复合式定位排痰法在慢性阻塞性肺疾病患者中的应用及其效果评价  

The application and efficiency of composite positioned sputum discharging for patients with chronic obstructive pulmonary disease

作　　者：任宗芝 宋义燕[2] 于广福[3] 

机构地区：[1]山东省胸科医院,济南250013 [2]山东省千佛山医院 [3]泰山医学院病原学教研室

出　　处：《中国实用护理杂志（中旬版）》2010年第6期3-4,共2页Chinese Journal of Practical Nursing

基　　金：山东省自然科学基金（ZR2009CQ003）

摘　　要：目的探讨复合式定位排痰法在慢性阻塞性肺疾病（COPD）中的应用及其实施效果，为临床实践提供依据。方法2008年1月至2009年12月在我院进行住院治疗的COPD患者共135例。将所有患者按照住院号随机分为观察组68例与对照组67例。观察组接受复合定位排痰法，对照组接受常规的排痰方法。观察并比较2组的治疗效果与患者满意度。结果治疗后，观察组的排痰量要大于对照组。而血气结果显示，观察组的PaCO2含量要低于对照组，PaO2要高于对照组。观察组的总体满意情况远高于对照组。结论复合式排痰与传统的人工排痰相比较具有更好的排痰效果和患者满意度，应在临床上推广应用。Objective To explore the application and efficiency of composite positioned sputum discharging for patients with chronic obstructive pulmonary disease, in order to provide a basis for clinical pracflee. Methods A total of 135 COPD patients were treated in our hospital from January 2008 to December 2009. All hospitalized patients were randomly divided into the observation group （68 cases） and the control group （67 cases） according to medical record number. The observation group received composite positioned sputum discharging, while the control group was given routine sputum discharging method. The treatment effects and patient satisfaction of the two groups were observed and compared. Results After treatment, the expecto- ration of the observation group was higher than the control group. The blood gas results showed that the PaCO2 concentration of the observation group was lower than the control group, while PaO2 was higher, and the differ- ences were statistically significant. The overall satisfaction degree of the observation group was far higher than the control group. Condmions Composite positioned sputum discharging has better results and patient saris- faction than the traditional manual sputum discharging method. It should be widely used in clinical application.

关 键 词：慢性阻塞性肺疾病 排痰 效果 

分 类 号：R563.05[医药卫生—呼吸系统]