摘要
目的探讨新式胸部叩击手法促进慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并感染患者排痰的效果。方法选择我院呼吸科收治的符合COPD合并肺部感染患者94例,随机分为两组,各47例,一组采用新式胸部叩击手法排痰(观察组),另一组采用传统的背部叩击手法排痰(对照组)。观察两组患者呼吸、血氧饱和度、血气分析、排痰量及住院时间等指标的差异。结果新式胸部叩击手法与传统背部扣击方法相比,在呼吸频率、血氧饱和度、血气分析、排痰量及住院时间等方面差异均有统计学意义(P<0.01)。结论新式胸部叩击手法提高了胸部物理治疗的临床效果,使痰液能及时有效排出,改善通气氧合功能,缓解憋喘症状,减少并发症,缩短了住院时间,节省了治疗费用,同时提高了护士观察病情的主动性和专业水平,收到了明显的社会和经济效益,具有推广意义。
Objective To explore the expectoration effects of new chest percussion technique in patients with chronic obstructive pulmonary disease（COPD） and pulmonary infection.Methods A total of 94 COPD patients with pulmonary infection treated in respiratory department in the hospital were randomly divided into an observational group（n=47） to undergo new chest percussion technique and the control group（n=47） to undergo the traditional approach of back percussion expectoration.The differences in rate,blood oxygen saturation,blood gas analysis,expectoration volume and length of stay were observed accordingly.Results Significant differences were observed in respiratory rate,oxygen saturation,blood gas analysis,expectoration volume and length of stay observed between the two groups（P0.01）.Conclusion The new chest percussion technique improves the clinical effects of chest physical therapy for timely and effective discharge of sputum,improve oxygenation and ventilation,ease asthma symptoms,reduce complications,shorten hospital stay,save the cost of treatment,improve the initiative and professional level of nurses in observing state of illness and achieve significant social and economic benefits,which is worth clinical promoting.
出处
《解放军护理杂志》
2010年第24期1873-1874,1877,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
胸部叩击法
慢性阻塞性肺疾病
肺部感染
排痰效果
chest percussion method
chronic obstructive pulmonary disease（COPD）
pulmonary infection
expectoration effect
