两种雾化吸入方法在胸腔镜术后肺癌患者中的应用比较

Comparison of application of two atomization inhalation methods in post-thoracoscopy operative patients with lung cancer

目的探讨胸腔镜术后的肺癌患者有效、舒适的雾化吸入方法,以促进患者术后排痰,减少术后肺部并发症的发生。方法将2014年10月~2015年10月68例胸腔镜术后的肺癌患者随机分为超声雾化吸入组和氧气雾化吸入组,记录两组患者治疗3 d后动脉血氧分压（PaO_2）、动脉二氧化碳分压（Pa CO_2）、动脉血氧饱和度（SaO_2）、排痰量等指标,并评价患者舒适度。结果氧气雾化吸入组在提高PaO_2（t=-7.64,P〈0.05）和SaO_2（t=-2.33,P〈0.05）、降低PaCO_2（t=3.22,P〈0.05）、促进排痰（t=-7.64,P〈0.05）、舒适度（χ~2=-6.40,P〈0.05）等方面均明显优于超声雾化吸入组,差异均具有统计学意义。结论氧气雾化吸入法与超声雾化吸入法相比,能够更好的促进患者术后排痰,是一种更为有效、舒适的雾化吸入方法。

Objective To investigate the efficient and comfortable therapeutics of atomization inhalation method in post-thoracoscopy operative patients with lung cancer to facilitate patients effectively spit sputum to prevent pulmonary complications. Methods A total of 68 post-thoracoscopy operative patients with lung cancer from October 2014 to October 2015 were divided into two groups random Ly： ultrasonic atomization inhalation group and oxygen atomization inhalation group. The PaO_2, PaCO_2, SaO_2 of arterial blood、sputum capacity and comfort level of patients were recorded after 3 days. Results Oxygen atomization inhalation group in improving PaO_2（t=-7.64,P〈0.05）and SaO_2（t=-2.33,P〈0.05）,reducing PaCO_2（t=3.22,P〈0.05）,promoting sputum excretion（t=-7.64,P〈0.05）, comfort level（χ~2=-6.40,P〈0.05） were significantly better than ultrasonic atomization inhalation group, the differences were statistically significant.Conclusion Compared the method of oxygen atomization inhalation and the method of ultrasonic atomization inhalation,the former is more efficient and comfortable which can promote sputum excretion better in post-operative patients.