排痰训练联合呼吸训练对NTM肺病合并支气管扩张患者的效果观察  

Effect of sputum excretion training combined with breathing training on patients with NTM pulmonary disease complicated with bronchiectasis

作　　者：冯翠莲[1] 杨柳红 陈燕霞[1] 黄丽青 黄丽萍[1] Feng Cuilian;Yang Liuhong;Chen Yanxia;Huang Liqing;Huang Liping(No.1 Internal Medicine,Guangzhou Chest Hospital,Guangzhou 510095,China)

机构地区：[1]广州市胸科医院内一科,510095

出　　处：《国际医药卫生导报》2021年第12期1756-1758,共3页International Medicine and Health Guidance News

摘　　要：目的探讨排痰训练联合呼吸训练对非结核分枝杆菌(NTM)肺病合并支气管扩张患者的效果。方法将2020年4月至12月入住本院的84例NTM肺病合并支气管扩张患者按随机单双号分组方法分为对照组(42例)和试验组(42例)。对照组男18例,女24例,年龄(59.5±11.1)岁。试验组男20例,女22例,年龄(56.4±13.4)岁。对照组实施用药指导、饮食护理等常规专科护理及有效排痰指导,试验组在常规护理基础上实施排痰训练联合呼吸训练。比较两组干预前及干预后5、7 d的排痰量及对治疗护理的满意度进行评价。结果干预后5、7 d试验组排痰量(79.41±2.56)ml、(114.57±3.06)ml,均多于对照组(61.76±2.28)ml、(77.43±3.56)ml,差异均有统计学意义(均P<0.05)。试验组患者对治疗及护理的满意度为97.6%(41/42),高于对照组的81.0%(34/42),两组数据差异有统计学意义(P<0.05)。结论通过排痰训练和呼吸训练等有效清除气道分泌物,提高通气的有效性,改善呼吸困难,减少因反复呼吸道感染住院,减轻患者经济负担,提高患者的生活质量。Objective To investigate the effect of sputum excretion training combined with breathing training on patients with nontuberculous mycobacteria(NTM)pulmonary disease complicated with bronchiectasis.Methods A total of 84 patients with NTM pulmonary disease complicated with bronchiectasis hospitalized in our hospital from April to December 2020 were divided into a control group and an experimental group by the randomized odd and even numbers,42 cases in each group.In the control group,there were 18 males and 24 females,with the age of(59.5±11.1)years old;in the experimental group,there were 20 males and 22 females,with the age of(56.4±13.4)years old.The control group received medication guidance,diet nursing,and other routine specialized guidance,and effective sputum excretion guidance,and the experimental group received sputum excretion training combined with breathing training on the basis of routine nursing.The amounts of expectoration of the two groups were compared before intervention and 5 and 7 days after intervention,and the satisfaction on treatment and nursing was evaluated.Results The amounts of expectoration in the experimental group 5 and 7 days after intervention were(79.41±2.56)ml and(114.57±3.06)ml,which were more than those in the control group[(61.76±2.28)ml and(77.43±3.56)ml](both P<0.05).The satisfaction on treatment and nursing in the experimental group was 97.6%(41/42),which was higher than that in the control group[81.0%(34/42)](P<0.05).Conclusions Sputum excretion training combined with breathing training can effectively remove airway secretions,improve the effectiveness of ventilation,improve respiratory difficulty,reduce hospitalization caused by repeated respiratory infection,reduce the economic burden,and improve the quality of life.

关 键 词：排痰训练 呼吸训练 非结核分枝杆菌肺病 支气管扩张 

分 类 号：R563[医药卫生—呼吸系统] R562.22[医药卫生—内科学]