氨溴索雾化吸入联合肺呼吸功能训练对肋骨骨折患者肺部并发症发生率的影响  

Effect of ambroxol aerosol inhalation combined with respiratory function training on the incidence of pulmonary complications in patients with rib fractures

作　　者：岳建彪[1] 

机构地区：[1]四川省骨科医院综合内科,四川成都610041

出　　处：《实用医院临床杂志》2017年第6期213-216,共4页Practical Journal of Clinical Medicine

摘　　要：目的分析常规治疗与氨溴索雾化吸入联用对肋骨骨折患者术后肺部并发症发生情况的影响。方法选取我院收治的肋骨骨折患者116例,随机分为常规组与治疗组各58例。两组均接受手术治疗,常规组在指导下进行常规治疗(肺呼吸功能训练),治疗组在常规组基础上加用氨溴索雾化吸入治疗,比较两组的肋骨复位效果、治疗情况(自主下床时间、住院时间、疼痛评分)、肺活量、肺部功能以及肺部并发症率。结果 (1)治疗组肋骨复位优良率为94.83%,常规组为96.55%,两组数据比较差异无统计学意义(P>0.05);(2)治疗组住院时间小于常规组,差异有统计学意义(P<0.05);(3)治疗组治疗后的肺活量、最大自主通气量提升,高于同时段的常规组,组间差异有统计学意义(P<0.05);(4)治疗组无患者发生肺不张、咳嗽困难,常规组发生率分别为13.79%、12.07%,高于治疗组,两组在肺部并发症发生差异有统计学意义(P<0.05)。结论肺呼吸功能训练联合氨溴索雾化吸入能提升肋骨骨折患者肺活量,防止肺功能损害,降低肺部并发症率,值得临床推广。Objective To analyze the effect of routine treatment and ambroxol aerosol inhalation on the incidence of postoperative pulmonary complications in patients with rib fractures. Methods 116 cases of patients with rib fractures in our hospital were randomly, divided into the routine group and the treatment group, 58 cases in each group. All patients underwent surgical treatment. The routine group were given routine treatment （respiratory function training）, while the treatment group were additionally treated with ambroxol aerosol inhalation. The reduction effects of rib fractures, treatment （independent ambulation time, hospitalization time, pain score）, lung capacity, lung function and the incidence of pulmonary complications were compared between the two groups. Results The excellent and good rate of rib reduction in the treatment group and the routine group were 94. 83% and 96. 55%, respectively （P 〉 0. 05）. The hospitalization time of the treatment group was shorter than that of the routine group （P 〈 0. 05）. After treatment, the vital capacity and maximal voluntary ventilation of the treatment group were increased and were higher than those of the routine group in the same period （P 〈 0.05 ）. There were no patients with pulmonary atelectasis and cough in the treatment group while the incidence rates in the routine group were 13.79% and 12. 07%. There was significant difference in the incidence of pulmonary complications between the two groups （P 〈 0. 05）. Conclusion Respiratory function training combined with ambroxol aerosol inhalation can improve the vital capacity of patients with rib fractures, prevent lung function damage and reduce the incidence of pulmonary complications.

关 键 词：肋骨骨折 肺呼吸功能训练 肺部并发症 氨溴索 

分 类 号：R683.1[医药卫生—骨科学]