咳嗽训练对促进颈脊髓损伤伴不全瘫痪患者术后排痰的临床疗效  

Clinical Effect of Cough Training on Postoperative Sputum Excretion in Patients with Cervical Spinal Cord Injury and Incomplete Paralysis

作　　者：张雪萍 林立宇[1] 陈晨[1] ZHANG Xue-ping;LIN Li-yu;CHEN Chen(Fujian Provincial Hospital,Fuzhou,350001,China)

机构地区：[1]福建省立医院,福州350001

出　　处：《黑龙江医学》2020年第6期826-828,共3页Heilongjiang Medical Journal

摘　　要：目的探讨和分析咳嗽训练对颈脊髓损伤伴不全瘫痪患者术后排痰的临床效果。方法选取2017年7月-2019年6月颈脊髓损伤伴不全瘫痪患者80例,按随机分配原则分为对照组和观察组,每组各40例。对照组患者入院后进行常规雾化吸入和拍背护理以促进患者术后排痰。观察组在对照组的护理方案上增加术后的咳嗽训练。比较两组患者术后1 d、3d、7 d排痰评分以及两组患者术后7 d内需要吸痰、发生肺部感染和肺不张的人数。结果术后1 d两组患者的排痰评分差异无统计学意义(P>0.05)。术后3 d、7 d观察组患者的排痰评分均高于对照组患者以及术后7 d,观察组患者需要吸痰、发生肺部感染和肺不张的人数均少于对照组患者,差异有统计学意义(P<0.05)。结论咳嗽训练对颈脊髓损伤伴不全瘫痪患者术后排痰有一定的促进作用,对临床上帮助患者排痰具有参考价值。Objective To explore and analyze the clinical effect of cough training on postoperative sputum excretion in patients with cervical spinal cord injury and incomplete paralysis.Methods 80 patients with cervical spinal cord injury and incomplete paralysis from July,2017 to June,2019 were selected.They were divided into control group and observation group according to the principle of random distribution,with 40 cases in each group.Patients in the control group underwent routine nebulization and clap back care after admission to promote postoperative sputum excretion.The observation group increased postoperative cough training in the nursing plan of the control group.The scores of the sputum excretion on the 1 st,3 rd,and 7 th day after surgery,and the number of patients who needed using suction,pulmonary infection and atelectasis within 7 days after surgery were compared between the two groups.Results There was no significant difference in the sputum excretion scores between the two groups on the 1 st postoperative day,P>0.05.The sputum excretion scores of the observation group were higher than those of the control group 3 days and 7 days after surgery.7 days after surgery,the number of patients in the observation group requiring sucking,pulmonary infection and atelectasis was less than that of the control group,P<0.05.The difference was statistically significant.Conclusion Cough training has a certain promoting effect on postoperative sputum excretion in patients with cervical spinal cord injury and incomplete paralysis.It has reference value for clinical patients’sputum excretion care.

关 键 词：颈脊髓损伤 瘫痪 排痰 咳嗽训练 

分 类 号：R683.2[医药卫生—骨科学]