无创气道咳痰机与旋转振动排痰仪用于高龄COPD患者排痰效果比较  

Comparison of RESPIRONIC Cough Assist and Vibration Sputum Elimination Apparatus on Sputum Excretion in Elderly Patients with Chronic Obstructive Pulmonary Disease

作　　者：霍霞[1] 高萌[1] 张立华[1] 

机构地区：[1]中国人民解放军总医院南楼心血管一科,北京100853

出　　处：《护理学报》2012年第19期47-49,共3页Journal of Nursing（China）

摘　　要：目的探讨无创气道咳痰机与旋转振动排痰仪对高龄慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者排痰效果。方法将60例高龄COPD患者随机分为观察组和对照组各30例,观察组采用无创气道咳痰机排痰,对照组采用旋转振动排痰仪排痰。比较两组患者排痰治疗的耐受情况、治疗前后脉搏、呼吸频率、血氧饱和度变化及排痰效果。结果观察组患者较对照组对排痰治疗耐受程度高;排痰治疗后,观察组患者呼吸频率及血氧饱和度的变化均明显优于对照组;观察组患者排痰效果优于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论无创气道咳痰机用于高龄COPD患者较旋转振动排痰仪效果好,且患者耐受程度高,值得临床推广应用。Objective To explore the therapeutic effect of RESPIRONIC Cough Assist and Vibration Sputum Elimination Apparatus on elderly patients with chronic obstructive pulmonary disease. Methods Sixty cases were randomly divided into observation group with RESPIRONIC Cough Assist （n=30） and control group with Vibration Sputum Elimination Apparatus （n=30）. The sputum drainage, SpO2, respire frequency, heart rate and the patients＇ compliance were observed. Results The patients＇ compliance in observation group was obviously better than with that in control group （P〈0.05）. Moreover, the effect of sputum drainage of observation group were greatly larger than that of control group （P〈0.05）, while SpO2 and respire frequency of observation group were higher than those of control group （P〈0.01）. Conclusion RESPIRONIC Cough Assist could be more effective on sputum drainage for elderly patients with chronic obstructive pulmonary disease, and the patients intend to comply with it more easily.

关 键 词：高龄 慢性阻塞性肺疾病 无创气道咳痰机 旋转振动排痰仪 

分 类 号：R473.56[医药卫生—护理学]