雾化吸入与体位引流结合提高排痰效果的护理观察

Nursing observation on the effect of aerosol inhalation combined with postural drainage on the improvement of expectoration

目的:探讨雾化吸入与体位引流对提高排痰效果的疗效。方法:100例慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)急性发作的患者随机分为对照组和观察组各50例,观察组采用雾化吸入与体位引流,对照组采用雾化吸入排痰护理。对比两组治疗第1 d至治疗第7 d痰液总量、体温恢复正常时间及住院时间。结果:观察组与对照组痰液量分别为(83.2±10.3)m L、(60.4±5.2)m L,体温恢复正常时间分别为(5.4±1.9)d、(6.9±2.1)d,住院时间分别为(12.5±4.2)d、(15.3±3.9)d,组间比较差异均有统计学意义(P<0.05)。结论:雾化吸入结合体位引流能够明显提高患者排痰量,改善症状,缩短住院时间。

Objectives：To explore the therapeutic effect of aerosol inhalation combined with postural drainage on the improvement of expecto-ration.Methods：100 cases of COPD with acute onset were randomly divided into the observation group （50 cases） using aerosol inhalation com-bined with postural drainage and the control group （50 cases） adopting aerosol inhalation for the nursing of expectoration, with the total volume of expectoration from 1th to 7 th day during treatments, recovery time of temperature and hospital stays compared in the two groups.Results：There was significant difference in the sputum volume, recovery time of temperature and hospital stays in the observation group （83.2 ±10.3 mL, 5.4 ±1.9 d, 12.5 ±4.2 d） and the control group （60.4 ±5.2 mL, 6.9 ±2.1 d, 15.3 ±3.9 d）.Conclusion：The combination of aerosol inhalation and postural drainage can obviously improve sputum-drainage volume, relieve symptom and shorten the hospital stays.