振动排痰机在肋骨骨折治疗中的疗效观察

Effect of vibratory sputum ejection machine on the treatment of patients with rib fracture

目的探讨振动排痰机在肋骨骨折排痰治疗中的效果。方法选择60例肋骨骨折患者随机分为振动排痰组30例和传统手叩排痰组30例,2组均常规给予雾化吸入、化痰等对症治疗。观察2组每日排痰量、脉搏血氧饱和度(SpO2)、排痰时疼痛评分和肺部并发症发生率。结果振动排痰组患者比传统手叩排痰组患者排痰量多,SpO2指标上升更明显,排痰时疼痛评分和肺部并发症发生率更低,差异均有统计学意义(P<0.05)。结论振动排痰机减少了肺部并发症的发生,减轻了患者的不适,减少了护士的体能消耗,对肋骨骨折患者的排痰疗效优于传统的手叩拍背排痰方式,值得在临床推广。

Objective To explore the effect of vibratory sputum ejection machine on spu- tum ejection treatment of patients with rib fracture. Methods 60 patients with rib fracture were randomly divided into vibratory sputum ejection group and traditional hand knock expectoration group, 30 cases in each group. Both groups were treated with the symptomatic treatment of atom- ization inhalation, phlegm, etc. The expectoration volume, the pulse oxygen saturation （SPO2）, the Visual Analogue Scale （VAS） of expectoration and the incidence rate of pulmonary complica- tions were observed and compared between two groups. Results Compared with the traditional hand knock expectoration group, the vibratory sputum ejection group had larger expectoration vol- ume, more apparent increase of SPO2 index, lower VAS score and lower incidence rate of pul- monary complications（P〈0.05）. Conclusion The vibratory sputum ejection machine can reduce the occurrence of pulmonary complications, alleviate patient＇s discomfort and reduce nurse＇s physi- cal consumption. Since it is superior to the traditional hand knock expectoration on the sputum e- jection effectiveness in patients with rib fracture, it is worthy of clinical popularization.