震动排痰机对开胸术后肺部并发症的预防效果评价分析  

Evaluation on the prevention of vibrate row phlegm machine for the complication of post-thoracotomy

作　　者：王林飞[1] 葛小琴[1] 郑毛根[2] 

机构地区：[1]浙江省杭州市第一人民医院胸外科,浙江杭州310006 [2]河北联合大学附属医院胸外科,河北唐山063000

出　　处：《中国医药导报》2013年第29期156-158,共3页China Medical Herald

基　　金：河北省自然科学基金项目(编号C2009001262)

摘　　要：目的评价振动排痰机在开胸术后肺部并发症中的排痰效果及对并发症的预防。方法选择2011年8月-2013年1月杭州市第一人民医院胸外科收治的开胸手术患者100例，随机分为治疗组和对照组，每组各50例。治疗组使用振动排痰机进行排痰，对照组使用传统叩击法进行排痰。比较两组患者采用不同排痰方式对预防术后并发症的效果。结果治疗组排痰量、排痰效果、肺部感染以及患者呼吸、血压（BP）、心率（HR）、氧饱和度（SpO2）均优于对照组，两组各项观察指相比较，差异均有统计学意义（P〈0．05）。结论振动排痰机能有效排出开胸手术后并发症沉积于肺部的痰液，减轻护理人员的工作强度，提高护理质量，值得临床应用。Objective To evaluate the sputum excretion effect and complication prevention of vibrate row phlegm machine af- ter thoracotomy. Methods 100 patients after thoracotomy from August 2011 to January 2013 in the First People＇s Hospital of Hangzhou City were selected and divided into the therapy group （n =50） and control group randomly （n = 50）. The therapy group was given sputum excretion by vibrate row phlegm machine, while the control group was given traditional way for sputum excretion. The prevention effect of complication after surgery by the two ways was compared. Results The volume and effect of sputum excretion, and the patients breath, blood pression, heart rate, SpO2 in the therapy group were all better than those in the control group, the differences were statistically significant （P 〈 0.05）. Conclusion Vibrate row phlegm machine can effectively excrete the sputum in the patients lung with complication after thoracotomy, can reduce the working strength of nurse for improving nursing quality, and it is worthy of clinical application.

关 键 词：开胸手术 振动排痰机 临床应用 

分 类 号：R472[医药卫生—护理学]