振动排痰仪结合呼吸肌训练对脑出血术后患者肺通气功能及并发症风险的影响  

Effect of Vibration Sputum Expelling Apparatus Combined with Respiratory Muscle Training on Pulmonary Ventilation Function and Complication Risk of Patients with Cerebral Hemorrhage after Surgery

作　　者：陈孝娇 CHEN Xiaojiao(Department of Neurosurgery,the First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)

机构地区：[1]蚌埠医科大学第一附属医院神经外科,安徽蚌埠233000

出　　处：《中国医学创新》2024年第35期74-78,共5页Medical Innovation of China

摘　　要：目的:探讨振动排痰仪结合呼吸肌训练对脑出血术后患者的肺通气功能及并发症的影响。方法:选取2022年9月—2023年8月蚌埠医科大学第一附属医院98例脑出血术后患者。按随机数字表法将其分为对照组与观察组,每组49例。对照组给予常规护理与呼吸肌训练,观察组在对照组基础上给予振动排痰仪护理。比较两组肺通气功能、日均排痰量、痰液黏稠度评分、排痰效果及并发症发生率。结果:护理后,观察组各肺通气功能指标均优于对照组,排痰总有效率高于对照组,日均排痰量及痰液黏稠度评分均低于对照组(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:针对脑出血术后患者,及时给予其振动排痰仪结合呼吸肌训练,能够有效改善患者术后肺通气功能,提升患者的排痰效果,这对降低术后并发症发生率具有积极意义。Objective:To investigate the effect of vibration sputum expelling apparatus combined with respiratory muscle training on pulmonary ventilation function and complications of patients with cerebral hemorrhage after surgery.Method:A total of 98 patients with cerebral hemorrhage after surgery were selected from the First Affiliated Hospital of Bengbu Medical University from September 2022 to August 2023.They were divided into control group and observation group according to random number table method,49 cases in each group.The control group was given routine nursing and respiratory muscle training,and the observation group was given vibration sputum expelling apparatus nursing on the basis of the control group.Pulmonary ventilation function,average daily sputum output,sputum viscosity score,expectoration effect and complication rate were compared between the two groups.Result:After nursing,the pulmonary ventilation function indexes of the observation group were better than those of the control group,the total effective rate of sputum expulsion was higher than that of the control group,and the average daily sputum output and sputum viscosity score were lower than those of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:For patients with cerebral hemorrhage after surgery,timely administration of vibration sputum expelling apparatus combined with respiratory muscle training can effectively improve the pulmonary ventilation function and enhance the sputum expelling effect of patients,which has positive significance in reducing the incidence of postoperative complications.

关 键 词：振动排痰仪 呼吸肌训练 脑出血 肺通气功能 

分 类 号：R473.6[医药卫生—护理学]