早期密集拍背、深呼吸咳嗽及体位引流在开胸术后肺不张患者中的作用

Effect of early intensive backslapping,deep-breathing cough and postural drainage in patients with atelectasis after thoracotomy

目的探讨早期密集拍背、深呼吸咳嗽及体位引流在开胸术后肺不张患者中的作用。方法选取赤壁市人民医院于2017年1月1日至2021年9月20日收治的380例开胸手术患者为研究对象,采用随机数字表法分为试验组(193例)和对照组(187例),试验组予以早期密集的拍背、深呼吸咳嗽及体位引流,对照组予以常规护理操作,比较两组术后肺不张发生率。结果试验组肺不张发生率低于对照组(10.88%vs.22.46%),差异有统计学意义(P<0.05)。结论开胸术后,早期密集的拍背、深呼吸咳嗽及体位引流能够有效避免肺不张,可在临床推广应用。

Objective To investigate the effect of early intensive backslapping,deep-breathing cough and postural drainage in patients with atelectasis after thoracotomy.Methods A total of 380 patients with thoracotomy from January 1,2017 to September 20,2021 in the People's Hospital of Chibi City were selected,and randomly divided into the experimental group(n=193)and the control group(n=187),the experimental group was given early intensive backslapping,deep breathing cough and postural drainage,the control group was given routine nursing operation,and the incidence of postoperative atelectasis was compared between the two groups.Results The incident of atelectasis was significantly lower in the experimental group than that in the control group(10.88%vs.22.46%,P<0.05).Conclusions Early intensive backslapping,deep-breathing cough and postural drainage can effectively prevent atelectasis after thoracotomy and can be widely used in clinic.