震动排痰机在腹部开放性手术后应用的效果分析  

Analysis of the Effect of Vibrating Expectoration Machine After Open Abdominal Surgery

作　　者：朱芸榭 贺敏[1] 

机构地区：[1]贵州省人民医院肝胆外科,贵州贵阳550002

出　　处：《中国继续医学教育》2017年第13期237-239,共3页China Continuing Medical Education

摘　　要：目的检验Hema G2000震动排痰机的应用对腹部开放性手术后的患者早期有效排痰、预防肺部感染、增加患者舒适度的效果。方法将50例开腹肝叶或肝段切除术的患者随机分为实验组和对照组,每组各25例。实验组采用Hema G2000震动排痰机排痰,对照组采用人工叩击排痰,观察两组的排痰效果、血氧饱和度(SpO_2)、动脉血氧分压(PaO_2)及肺部感染情况,并询问患者治疗舒适度,进行比较。结果治疗3天后,实验组有效排痰率高于对照组,肺部感染率低于对照组,治疗舒适度高于对照组(P<0.05)。结论震动排痰机的应用对腹部开放性手术后的患者早期排痰和预防肺部感染有积极有效的作用,增加了患者的适应性,降低了护理工作者的工作强度。Objective To test the application of Hema G2000 vibrating expectoration machine on early effective expectoration, theprevention of lung infection and the effect of increasing comfort of patients after open abdominal surgery. Methods 50 cases of hepatic lobectomy or hepatectomy were randomly divided into two groups： the experimental group and control group. There were 25 cases in each group. The experimental group adopted Hema G2000 vibrating expectoration machine, while the control group was treated with manual percussion expectoration. To observe and compare the results of two groups of sputum effect, blood oxygen saturation（Sp O2）, arterial oxygen partial pressure（Pa O2） and pulmonary infection, then inquired and compared the comfort degree of the patients. Results After the treatment of 3 days, the effective expectoration rate of the experimental group was higher than the control group, the lung infection rate was lower than the control group, and the treatment comfort was higher than the control group（P〈0.05）. Conclusion The application of vibrating expectoration machine has positive and effective effect on early expectoration and prevention of pulmonary infection in patients with open abdominal surgery, increasing the adaptability of patients and reducing the work intensity of nursing workers.

关 键 词：腹部开放性手术 有效排痰 肺部感染 震动排痰机 护理 

分 类 号：R473.6[医药卫生—护理学]