COPD急性发作期患者应用振动排痰的效果观察

Observate effect of vibration drive out phlegm in COPD patients with acute episode

目的观察振动排痰在慢性阻塞性肺疾病(COPD)急性发作期患者中应用的效果。方法将50例COPD患者随机分为试验组25例和对照组25例。试验组采用振动排痰法排痰,对照组采用手工叩击排痰,1周后比较两组患者呼吸、排痰量、呼吸音、胸片、血气分析指标、心率、血压、住ICU时间。结果两组患者在呼吸、排痰量、呼吸音改善、胸片改善、血气分析方面比较差异有统计学意义(P<0.05)。两组患者在排痰前后心率、血压比较差异无统计学意义(P>0.05)。结论振动排痰效果明显优于人工叩击排痰,且减少了医护人员的劳动强度,有利于提高医疗护理质量和减少平均住院天数。

Objective To observe the effect of vibration drive out phlegm of COPD patients in acute episode.Methods 50 cases of COPD patients were randomly divided into trial group（n=25） and control group（n=25）,trial group used vibration drive out phlegm,control group used manual drive out phlegm.One week after comparing two sets of patients breathe,platoon sputum volume,breath sounds,chest radiograph,blood gas analysis index,heart rate,blood pressure and dwelt in the ICU time.Results Two groups of patients in breathing,platoon sputum volume,breath sounds improvement,chest radiograph improvement,blood gas analysis,comparative significant difference（P0.05）.Two groups of patients in the queue phlegm before and after heart rate,blood pressure compare no significant difference（P0.05）.Condusion Vibration drive out phlegm is obviously superior to artificially drive out phlegmy,and reducing the labor intensity of medical personnel,improving the quality of medical care and reduce the average hospital stay.