两种排痰法在开胸术后患者中的应用比较

Comparison of application of two sputum elimination methods in post-thoracotomy patients

目的探讨雾化吸入配合医用振动排痰机排痰对开胸术后患者早期排痰的效果。方法将96例开胸术后患者分为观察组和对照组,观察组48例,接受雾化吸入配合医用振动排痰机辅助排痰治疗;对照组48例,接受雾化吸入配合人工叩击辅助排痰治疗。密切观察两组排痰量、血氧饱和度(SpO2)变化。结果观察组术后3 d内排痰量多于对照组(P<0.01),两组SpO2均显著提高,但观察组SpO2明显高于对照组。结论开胸术后患者雾化吸入配合使用医用振动排痰机排痰,效果显著优于雾化吸入配合人工叩击辅助排痰治疗。

Objective To investigate the effects of sputum elimination by using aerosol inhalation together with the Medical Vibratory Sputum Ejection Machine in post-thoracotomy patients. Methods 96 post-thoracotomy patients were divided into two groups with 48 cases in each group. The observation group was given aerosol inhalation coordinated by the Medical Vibra- tory Sputum Ejection Machine to assist for eliminating sputum. The control group was given aerosol inhalation together with artifi- cial beating to assist for eliminating sputum. Then the expelled sputum amount and SpO2 change were closely observed in the two groups. Results The postoperative 3 h expelled sputum amount in the observation group were significantly higher than that in the control group （P〈0.01）. SpO2 in the two groups all were signficantly increased, but SpO2 in the observation group was obviously higher than that in the control group. Conclusion Using aerosol inhalation together with the Medical Vibratory Sputum Ejection Machine for sputum elimination has better effect than aerosol inhalation together with artificial beating to assist for eliminating sputum patting back.