机械振动排痰辅助治疗小儿肺炎的临床观察

目的:观察机械振动排痰辅助治疗小儿肺炎的临床疗效。方法:收治小儿肺炎患者86例,在常规抗感染和对症治疗基础上随机分为两组,机械组43例采用机械振动排痰,人工组43例采用人工叩击法排痰。5天后观察肺部啰音消失情况;比较两组患者的平均住院时间。结果:两组患儿全部治愈出院。观察组肺部啰音消失时间明显比对照组短,差异有显著性(P<0.05)。机械组患者的平均住院时间短于人工组(P<0.05)。结论:机械振动排痰辅助治疗小儿肺炎临床疗效优于传统的人工叩击排痰法。

Abstract Objective：To explore the effects of mechanical vibration sputum expectoration as adjunctive therapy in children with pneu- monia. Methods： A total of 86 inpatients were treated with routine anti - infective therapy and symptomatic treatment in pedi- atric department of our hospital from May. 2010 to May. 2011. All the patients were randomly divided into either mechanical group（ n = 43） excrete sputum by mechani- cal vibration and patting group（ n = 43 ） dis- charged sputum by patting back. Pulmonary tales were examined at 5th day after treat- ment and the hospital stays were recorded in the two groups. Results：Both the time of pulmonary tales disappearance and the aver- age length of stay in mechanical group are significantly shorter than in patting group（P 〈 0. 05 ）. Conclusion ：The clinical effects of mechanical vibration sputum expectoration in treatment of child pneumonia is superior than the traditional method of patting back.