背部腧穴叩击配合弹拨法对机械通气患者排痰效果的研究  

The effects of chest percussion and vibration at Bei Shu Points on sputum expectoration among patients undergoing mechanical ventilation

作　　者：张金峰[1] 王爱民[2] 许丽辉[2] 朱正安[2] 

机构地区：[1]遵义医学院珠海校区,珠海市519041 [2]南京军区福州总医院

出　　处：《中华护理杂志》2016年第8期939-942,共4页Chinese Journal of Nursing

摘　　要：目的探讨背部腧穴叩击配合弹拨法对机械通气患者的排痰效果。方法将65例患者随机分为实验组和对照组,实验组32例,对照组33例。实验组患者应用背部腧穴叩击配合弹拨法排痰,对照组患者应用传统的叩背排痰。记录并分析两组机械通气患者的浅快呼吸指数、血氧饱和度和机械通气时间的变化。结果实验组患者的浅快呼吸指数低于对照组,差异有统计学意义(P<0.05)。两组患者的血氧饱和度和机械通气时间比较,差异无统计学意义(P>0.05)。结论背部腧穴叩击配合弹拨法能有效促进患者痰液排除,进而改善患者氧合功能,有望成为促进机械通气患者康复的重要措施之一。Objective To explore the effects of chest percussion and vibration at Bei Shu Points to stimulate sputum expectoration of patients undergoing mechanical ventilation. Methods A total of 65 patients were randomly divided into the control group（n=33） and the experimental group（n=32）. The control group was given routine nursing care,and the experimental group was given chest percussion and vibration at Bei Shu Points. The level of rapid-shallow-breathing index,SpO2 and mechanical ventilation time were compared between groups. Results The score of rapid-shallow-breathing index in the experimental group was lower than that in the control group（P〈0.05）. There was no statistical difference between the two groups in the SpO2 and mechanical ventilation time（P〉0.05）. Conclusion Chest percussion and vibration at Bei Shu Points can effectively promote sputum expectoration and improve oxygenation in patients,which might become one important physical therapy modality for patients undergoing mechanical ventilation.

关 键 词：穴位 背部 物理治疗技术 通气机 机械 痰 

分 类 号：R472[医药卫生—护理学]