慢性阻塞性肺气肿患者不同排痰方法效果比较  

Effect of different methods of sputum excretion on patients with chronic obstructive pulmonary emphysema

作　　者：王晓燕[1] 

机构地区：[1]上海市浦东新区浦南医院护理部,200125

出　　处：《中华现代护理杂志》2012年第36期4373-4375,共3页Chinese Journal of Modern Nursing

基　　金：上海市浦东新区卫生系统青年医学人才培养项目课题（PWRq2011-19）

摘　　要：目的比较慢性阻塞性肺气肿患者采用传统人工扣背法、G-5振动排痰仪振动背部排痰、G-5振动排痰仪振动前胸部排痰3种方法的排痰效果。方法选择2009年6月至2012年6月上海市浦东新区浦南医院ICu收治的90例慢性阻塞性肺气肿患者，随机分为人工扣背组、背部振动组、胸部振动组，各30例，分别采用传统人工扣背法、G-5振动排痰仪振动北部排痰、G-5振动排痰仪振动前胸部排痰，比较3种排痰方法的痰量、痰黏稠度、动脉血气分析指标、排痰效果。结果背部振动组、人工扣背组、胸部振动组患者日均排痰量分别为（59．22±18．92），（53．57±6．68），（68．85±23．84）ml；痰黏稠度评分分别为（1．74±0．25），（1．56±0．46），（1．90±0．43）分，3组间比较差异均有统计学意义（F值分别为5．853，3．129；P〈0．05）；3组患者黏稠血液饱和度、血氧分压、心率、呼吸、憋喘延缓时间方面比较差异均有统计学意义（F值分别为3．548，7．254，8．675，5．759，3．984；P〈0．05）。结论振动前胸部排痰效果明显，操作简单方便，减轻了护理工作的劳动强度，提高了护理工作的质量。Objective To investigate the effect of artificial beating, rolling machine beating on the patients with chronic obstructive pulmonary emphysema. Methods Select 90 patients with chronic obstructive pneumonia who were admitted in Punan hospital between June 2009 and May 2012, and randomly divided into artificial beating group （n = 30） which received artificial beating in the back, machine beating back group （n = 30） which received rolling machine beating （ G-5 ） in the back, and machine beating chest group （ n = 30 ） which received rolling machine beating （G-5） in the chest. Then,sputum expectoration effect in all groups such as sputum quantity, sputum viscosity, arterial blood gas analysis indicators and so on were obseived. Results Sputum quantity and sputum viscosity in machine beating back group, artificial beating group, machine beating chest group, respectively, were （59.22 ± 18.92） ml and （ 1.74 ± 0. 2.5 ）, （53.57 ± 6.68） ml and （ 1.56 ± 0.46）, （68.85 ± 23.84） ml and （ 1.90 ± 0.43 ）, and the difference between the three groups was statistically significant （F = 5. 853,3. 129, respectively ;P 〈 0.05 ）. And significant difference also was found in the oxygen saturation, blood oxygen pressure, heart rate, breath, delay time of suppress out between the three groups （ F = 3. 548,7. 254,8. 675,5. 759,3. 984,respectively;P 〈 0.05）. Conclusions The effect of machine beating in chest is better than the others, which can reduce the labor intensity of nurses, and improve their nursing quality.

关 键 词：慢性阻塞性肺气肿 排痰 人工扣背法 G-5振动排痰仪 

分 类 号：R473.5[医药卫生—护理学]