本文選題：背心式高頻振動(dòng)排痰 + 機(jī)械振動(dòng)排痰　； 參考：《中國(guó)呼吸與危重監(jiān)護(hù)雜志》2017年03期

【摘要】：目的探討背心式高頻振動(dòng)排痰和機(jī)械振動(dòng)排痰對(duì)老年肺部感染患者的療效對(duì)比。方法選取30例老年肺部感染患者,隨機(jī)分為高頻組和機(jī)械組各15例。在常規(guī)治療基礎(chǔ)上,高頻組采用背心式高頻振動(dòng)排痰儀,機(jī)械組采用機(jī)械振動(dòng)排痰儀。觀察兩組在治療前(D1)、治療后第7 d(D7)、第14 d(D14)的呼吸頻率(R)、末梢靜脈氧飽和度(SpO_2)、日常生活能力(ADL)評(píng)分、住院時(shí)間、痰液情況等指標(biāo)。結(jié)果兩組日排痰量無(wú)明顯差異,同一組中D7比D1,D14比D7的日排痰量比較,差異均有統(tǒng)計(jì)學(xué)意義。D7、D14的SpO_2、ADL評(píng)分比較,高頻組高于機(jī)械組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。組內(nèi)比較,D7和D14分別與D1比較,R、ADL、SpO_2均有明顯變化,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。D14與D7比較,除了機(jī)械組的ADL無(wú)明顯差異外,其余各指標(biāo)比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論兩種振動(dòng)排痰方法均有效,痰量變化無(wú)差異,背心式高頻振動(dòng)排痰儀能較長(zhǎng)時(shí)間改善咯痰難易度和痰液性狀。該法能鍛煉胸廓收縮力,提高血氧、緩解氣促。
[Abstract]:Objective to compare the efficacy of vest high frequency vibration sputum drainage and mechanical vibration sputum drainage in elderly patients with pulmonary infection. Methods 30 elderly patients with pulmonary infection were randomly divided into high frequency group (15 cases) and mechanical group (15 cases). On the basis of routine treatment, the high frequency vibration sputum ejector was used in the high frequency group and the mechanical group was used. The respiratory rate (R), peripheral venous oxygen saturation (SPO _ 2), ADL score, hospitalization time and sputum were observed before treatment (D1), 7th day (D7), 14th day (D14). Results there was no significant difference in daily sputum excretion between the two groups. In the same group, the daily sputum excretion volume of D7 was higher than that of D1D14, the difference of SPO2ADL of D7D14 was statistically significant, and the high frequency group was higher than that of mechanical group (P0.05). The difference between D7 and D14 and D1 was statistically significant (P0.05) .D14 and D7, except for the mechanical group, there was no significant difference in ADL between the two groups (P0.05). Conclusion both of the two methods are effective and there is no difference in sputum volume. High frequency vibration sputum ejector with vest type can improve the easy degree of sputum and sputum properties for a long time. This method can exercise chest contractility, improve blood oxygen and relieve shortness of breath.
【作者單位】： 廣州市番禺療養(yǎng)院療養(yǎng)康復(fù)區(qū);
【分類號(hào)】：R473.5
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本文編號(hào)：2065462