多频振动治疗仪预防颈髓损伤患者肺部感染的效果

Effect of multi-frequency vibration therapy device on preventing pulmonary infection in patients with cervical spinal cord injury

目的探讨多频振动治疗仪预防颈髓损伤患者肺部感染的效果。方法选取2017年1月～2018年3月南昌大学第一附属医院收治的60例颈髓损伤患者作为研究对象,根据随机数字表法将其分为对照组和干预组,每组各30例。对照组患者采用传统排痰方法,包括雾化吸入治疗和翻身拍背法,干预组患者则在常规雾化吸入治疗的基础上采用多频振动治疗仪协助排痰。连续治疗7 d后比较两组患者的临床疗效、肺部感染发生率以及患者家属的满意率。结果干预组患者的排痰总有效率明显高于对照组,差异有统计学意义(P=0.021)。干预组患者的肺部感染发生率低于对照组,差异有统计学意义(P=0.044)。干预组患者家属的满意率高于对照组,差异有统计学意义(P=0.031)。结论颈髓损伤患者在行传统排痰治疗的基础上,采用多频振动治疗仪进行排痰治疗,能够及时有效地清理呼吸道内分泌物,并保持呼吸道通畅,预防肺部感染的发生,且能显著提高患者家属满意率,是一种安全有效的治疗护理措施,值得进一步推广应用。

Objective To explore the effect of multi-frequency vibration therapy device on preventing pulmonary infection in patients with cervical spinal cord injury(CSCI).Methods A total of 60 patients with CSCI admitted to the First Affiliated Hospital of Nanchang University from January 2017 to March 2018 were selected as objects.They were divided into the control group and the intervention group according to the random number table method,with 30 cases in each group.In the control group,traditional sputum excretion of aerosol inhalation was used,including aerosol inhalation therapy and roll-back method,while in the intervention group,multi-frequency vibration therapy device was added on the basis of aerosol inhalation.After 7-day continuous treatment,the clinical efficacy,the incidence of pulmonary infection,and the satisfaction rate of the patients′families were compared between the two groups.Results The total effective rate of sputum excretion in the intervention group was significantly higher than that in the control group,with significant difference(P=0.021).The incidence of pulmonary infection in the intervention group was lower than that in the control group,with significant difference(P=0.044).The satisfaction rate of patients′families was higher than that in the control group,with statistical difference(P=0.031).Conclusion On the basis of traditional sputum excretion treatment,application of multi-frequency vibration therapy device for patients with CSCI can effectively clear the respiratory secretions in time,keep the respiratory tract unobstructed,prevent the occurrence of lung infection,and significantly increase the satisfaction rate of patients′families.It is a safe and effective treatment and care measure,and is worthy of further promotion and application.