振动排痰机辅助排痰在食管癌三切口术后护理中的应用  

Application of Vibration-assisted Expectoration in the Postoperative Care of Three Incisions Esophagectomy

作　　者：周红[1] 陈世容[1] 王益芳[1] 殷鸿[1] 邓明珍[1] 

机构地区：[1]四川省肿瘤医院胸外科,成都610041

出　　处：《肿瘤预防与治疗》2010年第5期421-423,共3页Journal of Cancer Control And Treatment

摘　　要：目的:观察振动排痰机辅助排痰方法对食管癌三切口手术患者疼痛和排痰效果的影响。方法:将60例食管癌三切口手术患者随机分为对照组和观察组,两组术后均在常规抗感染、祛痰和吸氧、雾化吸入的同时,分别采用人工叩背和振动排痰机排痰治疗,观察及评估两组患者排痰后切口疼痛程度(NRS),排痰量及胸部X片表现。结果:观察组NRS测定平均值显著低于对照组(P<0.05);两组排痰量和肺不张的发生率具有显著差异。结论:食管癌三切口术后患者使用振动排痰机辅助排痰对患者伤口疼痛影响小,排痰效果明显,有效地防治了肺部并发症的发生,促进了患者早日康复。Objective： To evaluate the effects of vibration-assisted expectoration in the postoperative care of esophageetomy with three incisions. Methods： 60 patients with esophageal cancer accepted three incisions esophagectomy were randomly divided into control group and observation group. All patients received anti-inflammatory, expectorant treatment, neb nebulised medication and oxygen inhalation. Vibration-assisted expectoration was applied on the observation group, while the control group got expectoration by human labor. The two groups were assessed by incision pain （NRS）, expectoration volume and chest X-ray. Results： NRS determination of the observation group was significantly lower than that of the control group （ P 〈 0. 05）. Two groups showed significant differences in expectoration volume and the incidence of atelectasis. Conclusion： Esophageal cancer patients accepted three incisions esophagectomy get less wound pain, more obvious expectoration effect, less pulmonary complications and earlier recovery by vibrationassisted expectoration.

关 键 词：食管癌 三切口 排痰方法 

分 类 号：R473.73[医药卫生—护理学]