循经络取穴振动排痰法在老年AECOPD患者中的应用效果观察

Mechanical-assisted expectoration through meridian points for senile patients with AECOPD

目的 探讨循经络取穴振动排痰法在老年AECOPD患者中的应用效果。方法 选取2016年4月至2019年2月入住本院病房的老年AECOPD患者180例,采用随机对照研究方法将其随机分为两组,各90例。两组患者均给予常规治疗与护理,对照组患者在此基础上给予机械振动排痰法,观察组患者在此基础上给予循经络取穴振动排痰法,3次/d,15~20min/次,连续治疗5d。由1名护士进行盲法采集和记录两组患者的24h排痰量、动脉血PaO2及PaCO2。结果 最终共纳入172例患者,对照组85例,观察组87例患者完成研究;干预后5d,观察组日均排痰量、PaCO2分别为(12.20±7.83)ml、(42.50±3.31)mmHg,均低于对照组,动脉血PaO2为(83.31±4.62)mmHg,高于对照组,差异均有统计学意义(均P<0.05)。结论 循经络取穴振动排痰法能有效促进老年AECOPD患者排痰,改善动脉血气指标,提高临床疗效,具有操作简单易行,排痰效果好,无毒副反应的优点,是老年AECOPD患者排痰效果较佳的治疗方法之一,值得在临床上推广应用。

Objective To observe the effect of mechanical-assisted expectoration through meridian points for senile patients with AECOPD. Methods A total of 180 senile patients with AECOPD who were admitted to our hospital from April, 2016 to February, 2019 were randomly divided into a control group and an observation group, with 90 cases in each group. Both groups were given routine treatment and nursing;in addition, the control group were given mechanical-assisted expectoration, while the observation group mechanical-assisted expectoration through meridian points, 3 times a day, 15 to 20 minutes each time, continuously for 5 days. The 24- hour sputum volume, arterial blood PaO2 and PaCO2 of the two group were collected and recorded by the blind method by a nurse. Results A total of 172 patients were enrolled, including 85 in the control group and 87 in the observation group. 5 days after the intervention, daily mean sputum volume, PaCO2, and PaO2 were (12.20±7.83) ml,(42.50±3.31) mmHg, and (83.31±4.62) mmHg in the observation group, which were better than those in the control group (all P < 0.05). Conclusion Mechanical-assisted expectoration through meridian points for senile patients with AECOPD can improve their arterial blood gas indicators and the clinical curative effect, has the advantages of simple operation, good drainage effect, and non-toxic side reaction. It is one of the better treatments to promote the sputum excretion of elderly AECOPD patients and is worthy of clinical application.