叩击支气管解剖位置进行排痰对防控呼吸内科住院患者肺部感染的效果及应用价值

Effect and application value of sputum bronchial anatomical location for prevention and treatment of pulmonary infection in hospitalized respiratory infection patients

目的探讨叩击支气管解剖位置进行排痰对防控呼吸内科住院患者肺部感染的效果及应用价值。方法回顾性选择2016年2月至2018年2月在上海市第八人民医院住院治疗的120例呼吸内科排痰困难的患者为研究对象,按照排痰方法的不同分为研究组和对照组,每组各60例。研究组患者采用叩击支气管解剖位置进行排痰的方法,对照组患者采用传统叩击背部进行排痰的方法。比较两组患者第1～5天的排痰量、排痰效果、肺部感染加重的患者比率,并采用中文版麦吉尔(McGill)疼痛问卷-2评估和比较两组患者叩击后的疼痛情况。结果研究组患者第1～4天的排痰量显著高于对照组(20.34±3.43 ml～28.33±2.98 ml vs.15.23±2.98 ml～27.33±3.90 ml,t=0.873～6.445,P<0.05)。研究组患者排痰的有效率显著高于对照组(分别为90.00%、70.00%,χ~2=7.500,P=0.006),肺部感染加重的患者比率显著低于对照组(分别为10.00%、28.33%,χ~2=6.891,P=0.014)。研究组患者叩击后疼痛情况与对照组比较,差异具有统计学意义(χ~2=5.785,P=0.016)。研究组患者疼痛程度为2级和3级的患者比率小于对照组。结论采用沿支气管解剖位置进行叩击排痰的方法可以有效清除呼吸道分泌物,防控肺部感染,在临床实践中具有较高的应用价值。

Objective To explore the effect and significance of application of knocking at bronchial anatomical location for expelling sputum for prevention and treatment of pulmonary infection in hospitalized respiratory infection patients.Methods One hundred and twenty hospitalized patients were retrospectively selected during February 2016 to February 2018.They were difficult in expiration of sputa in the Department of Respiratory Medicine in this hospital and they were divided into study group and control group according to different drainage methods,with 60 cases in each group.The method of knocking the bronchial anatomical position for drainage was used,and the traditional slamming of the back for drainage was used in the control group.Sputum drainage on days 1 to 5,effect of sputum excretion,and the ratio of lung infection was compared.The Chinese version of the McGill Pain Questionnaire-2 was used to assess the pain after the sniper.Results The amount of sputum in the study group was significantly higher than that of control group on days 1 to 4(20.34±3.43~28.33±2.98 ml vs.15.23±2.98~27.33±3.90 ml,t=0.873~6.445,P=<0.001~0.343).The effective rate of study group was significantly higher than that of control group(90.00%vs.70.00%,χ^2=7.500,P=0.006),and the proportion of patients with pulmonary infection was significantly lower than that of control group(10.00%vs.28.33%,χ^2=6.891,P=0.014).The pain of patients in study group was significantly different from that of control group(χ^2=5.785,P=0.016).The proportion of patients with grade 2 and grade 3 pain in study group was less than that of control group.Conclusion The method of sniping and sputum excretion along the bronchial anatomical position can effectively remove respiratory secretions,prevent and control lung infection,and it has high application value in clinical practice.