支气管扩张合并感染治疗中加用主动循环呼吸运动效果研究

Study of the effect of adding active circulatory breathing exercise in the treatment of bronchiectasis complicated with infection

目的:探索支气管扩张合并感染治疗中加用主动循环呼吸运动的效果。方法:选取2017年1月至2019年1月确诊的支气管扩张伴感染患者110例,随机分为试验组和对照组各55例。对照组采用青霉素、头孢霉素等抗生素治疗;试验组在对照组基础上加用主动循环呼吸运动(ACBT)。治疗3个月后评价两组疗效,并比较两组住院期间治疗、住院、抗生素使用天数、住院费用及治疗前后肺功能、动脉血气指标变化。结果:治疗3个月后,试验组总有效率为86.00%(54/55),显著高于对照组的68.00%(45/55,P<0.05)。试验组治疗、住院、抗生素使用天数及住院费用均显著低于对照组(P<0.05)。试验组用力肺活量(FVC)、第一秒用力呼气体积(FEV1)及呼气峰流速(PEF)指标均显著高于对照组(P<0.05)。试验组血氧饱和度(SaO2)及动脉血氧分压(PaO2)指标均显著高于对照组(P<0.05),动脉血二氧化碳分压(PaCO2)显著低于对照组(P<0.05)。结论:支气管扩张合并感染治疗中加用ACBT训练,疗效显著,可有效减少患者治疗及住院时间,降低治疗费用,且肺功能恢复更为良好,值得临床推广与应用。

Objective:To explore the effect of adding active circulatory breathing exercises(ACBT)in the treatment of bronchiectasis complicated with infection.Methods:A total of 110 patients with bronchiectasis complicated with infection diagnosed from January 2017 to January 2019 were selected and randomly divided into an experimental group and a control group with 55 cases each.The control group was treated with penicillin,cephalosporin and other antibiotics;the experimental group was added ACBT on the basis of the control group.After 3 months of treatment,the efficacy of the two groups was evaluated,and the treatment,hospitalization,antibiotic usage days,hospitalization expenses,changes in lung function and arterial blood gas indexes before and after treatment were compared between the two groups.Results:After 3 months of treatment,the total effective rate in the experimental group was 86.00%(54/55),which was significantly higher than that in the control group 68.00%(45/55,P<0.05).The treatment,hospitalization,antibiotic use days and hospitalization expenses in the experimental group were significantly lower than those in the control group(P<0.05).The indexes of forced vital capacity(FVC),forced expiratory volume in the first second(FEV1)and peak expiratory flow rate(PEF)in the experimental group were significantly higher than those in the control group(P<0.05).The blood oxygen saturation(SaO2)and arterial partial pressure of oxygen(PaO2)in the experimental group were significantly higher than those in the control group(P<0.05),and the arterial partial pressure of carbon dioxide(PaCO2)in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion:The addition of ACBT training in the treatment of bronchiectasis complicated with infection has a significant effect,which can effectively reduce the patient’s treatment and hospital stay,reduce treatment costs,and improve lung function recovery,which is worthy of clinical promotion and application.