两种不同方式拍背排痰效果的比较  

Comparison of Effect of Two Different Ways of Slap-back Expectoration

作　　者：曹霞[1] CAO Xia(Department of Pediatrics,Jiangyin People's Hospital Affiliated to Medical College of Southeast University,Jiangyin,Jiangsu Province,214400 China)

机构地区：[1]东南大学医学院附属江阴人民医院儿科,江苏江阴214400

出　　处：《系统医学》2018年第22期91-93,共3页Systems Medicine

摘　　要：目的分析探讨传统拍背排痰与体位引流辅助拍背排痰在大叶性肺炎患儿护理中的应用效果。方法纳入2016年5月—2018年5月收治的224例大叶性肺炎患儿为观察对象,回顾分析患者临床资料,根据排痰方式将患儿分为对照组与观察组,对照组患儿110例采用传统手法拍背排痰,观察组114例患儿采用体位引流辅助拍背排痰,对比两组患儿的排痰效果、并发症发生情况及住院时间等指标。结果对比两组患者第1、3、5、7 d的日排痰量,第3d观察组排痰量显著高于对照组(t=30.892,P<0.05);第7天观察组显著低于对照组(t=29.702,P<0.05)。观察组患者体温恢复时间、影像学恢复时间以及住院时间与对照组相比均显著缩短,差异有统计学意义(t=15.461,6.087,6.197,P<0.05)。观察组并发症发生率为1.75%;对照组并发症发生率为12.73%,观察组并发症发生率显著低于对照组,差异有统计学意义(χ~2=10.163,P<0.05)。结论对大叶性肺炎患儿采取体位引流辅助拍背排痰方式,可显著提高排痰量,减少相关并发症的发生,并且促进患儿的康复,缩短住院时间。Objective To analyze and study the application effect of traditional slap-back expectoration and postural drainage adjunctive slap-back expectoration in the nursing of children with lobar pneumonia. Methods 224 cases of children with lobar pneumonia admitted and treated in our hospital from May 2016 to May 2018 were selected, and the clinical data were retrospectively analyzed, and the patients were divided into two groups according to different expectoration ways, the control group with 110 cases used the traditional slap-back expectoration, while the observation group with 114 cases used the postural drainage adjunctive slap-back expectoration, and the expectoration effect, occurrence of complications and length of stay were compared between the two groups. Results The daily expectoration volume on 1, 3, 5, 7 d between the two groups was compared, and the expectoration volume on 3d in the observation group was obviously higher than that in the control group(t=30.892, P<0.05); and the indicator on 7d in the observation group was obviously lower than that in the control group(t=29.702, P<0.05), and the body temperature recovery time, imaging recovery time and length of stay in the observation group obviously shortened compared with those in the control group,the different wasstatistically significant(t=15.461,6.087,6.197, P<0.05), and the incidence rate of complications in the observation group and in the control group was respectively 1.75% and 12.73%,the different wasstatistically significant(χ^2=10.163, P<0.05). Conclusion The postural drainage adjunctive slap-back expectoration in the nursing of children with lobar pneumonia can obviously improve the expectoration volume, reduce the occurrence of related complications and promote the recovery of children, and shorten the length of stay.

关 键 词：大叶性肺炎 拍背排痰 体位引流 排痰量 

分 类 号：R47[医药卫生—护理学]