摘要
目的分析振动排痰对预防呼吸机相关性肺炎的临床疗效。方法选取2014年3月～2015年9月在我院住院治疗的重型颅脑损伤患者70例作为研究对象，将所有患者随机分为两组，各35例。对照组采用传统叩背排痰法，观察组采用振动排痰法，分析比较两组患者住院情况、吸痰后血气指标变化及呼吸机相关性肺炎发生率。结果观察组住院时间及机械通气时间均短于对照组，差异有统计学意义（P〈0．05）；经过吸痰后，观察组血气指标优于对照组，差异有统计学意义（P〈0．05）；观察组呼吸机相关性肺炎发生率为8．57％，显著低于对照组的34．29％，差异有统计学意义（P〈0．05）。结论振动排痰可有效预防呼吸机相关性肺炎发生，提高患者的舒适度，减少肺部感染，缩短住院时间及机械通气时间，减轻患者经济负担，同时也有利于患者预后的恢复，在临床应用中值得推广。
Objective To analyze the curative effect of vibrating sputum in prevention of ventilator associated pneumonia. Methods 70 cases of severe brain injury patients cured in our hospital from March 2014 to September 2015 were selected as the study objects and divided into two groups with 35 cases in each. Patients in control group were treated with traditional back percussion sputum, and patients in observation group were treated with vibrating sputum. Hospitalization situation, changes of blood gas indexes after sputum aspiration, and incidence of ventilator associated pneumonia of the two groups were compared. Results Hospital stay and mechanical ventilation time of observation group were shorter than those of control group, and the differences were significant（P 〈 0.05）. After sputum suction, blood gas indexes of observation group were better than those of control group, and the differences were significant（P 〈 0.05）.Incidence of ventilator associated pneumonia of observation group was 8.57%, which was significantly lower than that of control group with 34.29%, and the difference was significant（P 〈 0.05）. Conclusion Vibrating sputum can effectively prevent the occurrence of ventilator associated pneumonia.At the same time,it is beneficial to the recovery of the patient＇ s prognosis. It is worth popularizing in clinical application.
出处
《中国医药科学》
2016年第15期99-101,共3页
China Medicine And Pharmacy
关键词
振动排痰
呼吸机相关性肺炎
疗效
感染
Vibrating sputum
Ventilator associated pneumonia
Infection
Curative effect
