可拆卸式手动叩背排痰器的临床应用  

Application of a detachable manual knock-back sputum expectorator in neurosurgery department

作　　者：余鹏 詹昱新 李冰[1] 王佩 YU Peng;ZHAN Yu-xin;LI Bing;WANG Pei(Department of Neurosurgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院神经外科,武汉430022

出　　处：《中国临床神经外科杂志》2024年第12期738-741,共4页Chinese Journal of Clinical Neurosurgery

基　　金：湖北省自然科学基金(2022CFB261);华中科技大学同济医学院第一临床学院2021年度院级教学改革研究项目院级专项(202143)。

摘　　要：目的探讨自制的可拆卸式手动叩背排痰器在神经外科肺部感染中的应用效果。方法2021年12月至2022年7月前瞻性收集神经外科肺部感染60例,按照入院顺序分为观察组和对照组,各30例。在对症治疗基础上,观察组使用自行设计的可拆卸式手动叩背排痰器进行叩背排痰,对照组采用人工叩背排痰。观察叩背排痰后呼吸频率、血氧饱和度、肺部CT复查结果等。结果与对照组相比,观察组呼吸频率明显降低(P<0.01),血氧饱和度明显增高(P<0.01),肺部CT复查显示病灶吸收情况更好(P<0.01),操作者3 min叩背频率明显降低(P<0.01),操作者舒适度明显改善(P<0.01)。结论对于神经外科肺部感染病人,可拆卸式手动叩背排痰器能促进排痰,保持气道通畅,提升治疗效果,并减轻操作者负担。Objective To investigate the application efficacy of a self-developed detachable manual back-tapping expectoration device in patients with pulmonary infections in neurosurgery department.Methods From December 2021 to July 2022,60 patients with pulmonary infections in neurosurgery were prospectively collected and divided into the observation group and the control group based on the admission sequence,with 30 cases in each group.On the basis of conventional symptomatic treatment,the observation group utilized a self-designed detachable manual back-tapping expectoration device for back-tapping and expectoration,while the control group adopted traditional manual back-tapping.The main observation indicators encompassed the respiratory rate,blood oxygen saturation,and the results of lung CT reexaminations after back-tapping and expectoration.Results Compared with the control group,the respiratory rate of patients in the observation group was significantly decreased(P<0.01),the blood oxygen saturation was significantly increased(P<0.01),and the reexamination of lung CT revealed better absorption of the lesions(P<0.01).Additionally,when the operators used the back-tapping expectoration device,the tapping frequency within 3 minutes was significantly reduced(P<0.01),and the operational comfort was significantly enhanced(P<0.01).Conclusion For patients with pulmonary infections in neurosurgery,the detachable manual back-tapping expectoration device can effectively facilitate expectoration,maintain airway patency,enhance the therapeutic effect,and alleviate the labor intensity of the operators.

关 键 词：神经外科肺部感染 排痰 可拆卸式手动叩背排痰器 

分 类 号：R651[医药卫生—外科学] R473.6[医药卫生—临床医学]