高频胸壁振荡排痰系统在机械通气患者中的应用  

Application of High Frequency of Chest Wall Vibration Expectoration Drainage System in Patients with Mechanical Ventilation

作　　者：唐永林[1] 温韬雪[1] TANG Yong-lin;WEN Tao-xue(the First Ward, Intensive Care Unit, the Second Affiliated Hospital of Harbin Medical University, Harbin Heilongjiang 150086, China)

机构地区：[1]哈尔滨医科大学附属第二临床医学院重症医学科一病房,黑龙江哈尔滨150086

出　　处：《中国医疗设备》2017年第5期108-110,共3页China Medical Devices

摘　　要：目的观察高频胸壁振荡排痰系统在部分机械通气患者中的应用效果。方法使用高频胸壁振荡排痰系统对30例分泌物阻塞气道的机械通气患者进行护理,使用前后收集呼气最大流速、痰液性状等相关资料,进行统计学分析。结果使用高频胸壁振荡排痰系统后,30例机械通气患者呼气最大流速均有明显改善,痰液更容易排出。使用前后呼气最大流速、痰液性状的差别有统计学意义(P<0.01)。结论高频胸壁振荡排痰系统能有效清除机械通气患者外周气道的痰液,降低气道阻力进而改善通气阻塞状况。Objective To observe application effect of the high frequency of the chest wall vibration expectoration drainage system in some patients with mechanical ventilation.Methods30cases of discharge blocking the airway nursing patients with mechanical ventilation were taken care by the high frequency of the chest wall vibration expectoration drainage system.The relevant data of the maximum velocity and sputum properties of the expiration before and after,and the sputum properties were separately collected.Statistical analysis was performed on these data.Results The maximum velocity of the30patients'expiratory was improved significantly after using the chest wall vibration expectoration drainage system.It was easier for the patients to discharge sputum.The scores of both exhale maximum velocity and sputum properties for the post-test were higher than those for the pre-test and the difference had statistical significance(P<0.01).Conclusion High-frequency chest wall vibration expectoration drainage system can effectively remove the peripheral airway mucus of the mechanical ventilation patients.It can reduce airway resistance and improve ventilation obstruction.

关 键 词：高频胸壁振荡排痰系统 机械通气 排痰 胸部物理治疗 最大呼气流速 震荡 

分 类 号：R454.4[医药卫生—治疗学]