震动排痰用于慢性阻塞性肺疾病急性加重患者的临床观察  

Clinical observation of expectoration vibroscope applied to patients with acute exacerbation of chronic obstructive pulmonary disease

作　　者：张弛[1] 李惠华[1] 刘洪[1] 

机构地区：[1]成都市第一人民医院呼吸内科第二病区,610016

出　　处：《临床合理用药杂志》2011年第14期27-28,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察震动排痰仪用于慢性阻塞性肺疾病急性加重(AECOPD)患者的排痰效果。方法 80例AECOPD患者随机分为治疗组和对照组各40例,对照组采用常规治疗,治疗组在对照组治疗基础上应用震动排痰仪治疗,观察2组治疗7d后的日均排痰量、SpO2变化、临床症状及体征改善时间、肺功能改善情况。结果治疗组治疗后排痰量、咳嗽减轻时间、呼吸困难减轻时间、啰音消失或减轻时间均少于对照组,FVC、FEV1、PEF均高于对照组,差异有统计学意义(P<0.01)。结论震动排痰可有效促进排痰,值得临床推广应用。Objective To observe the expectoration efficacy of expectoration vibroscope applied to patients with acute exacerbation of chronic obstructive pulmonary disease（AECOPD）.Methods 80 cases were randomly divided into treatment group and control group,40 cases of each.The control group was given traditional treatment,while the treatment group based on the control group was treated by expectoration vibroscope.7 days later,the expectoration per day,changes of SpO2,the amelioration time of clinical symptoms,signs and pulmonary function of 2 groups were observed.Results After treatment,compared to the control group,the expectoration per day,amelioration time of cough and difficult breathing,disappearance time or amelioration time of rale of the treatment group were espectively shorter,while FVC、FEV1、PEF were espectively higher,and all the differences were statistically significant（P0.01）.Conclusion Expectoration through Vibration can promote expectoration effectively,which is worth clinical popularization and application.

关 键 词：震动排痰 慢性阻塞性肺病 急性加重期 效果 

分 类 号：R563.9[医药卫生—呼吸系统]