摘要
目的探讨呼吸抗阻训练联合主动循环呼吸技术在下颈髓损伤患者护理中的应用效果。方法选取2017年4月-2019年3月河北医科大学第三医院创伤急救中心收治的78例下颈髓损伤患者作为研究对象。采用随机数字表法将其分为观察组和对照组,各39例。对照组采用自制的复合序贯排痰技术进行呼吸系统护理,观察组在对照组基础上增加呼吸抗阻训练联合主动循环呼吸技术进行抗阻吸气训练和呼气训练。比较两组排痰量、肺功能改善程度(FVC、FEV1、PEF、MEP)及住院期间肺部并发症发生率。结果经4周训练后,观察组术后第5天排痰量低于对照组,差异有统计学意义(P<0.05);观察组FVC、FEV1、PEF、MEP 4项肺功能指标均优于对照组,差异均有统计学意义(P<0.05);观察组肺部并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论呼吸抗阻训练联合主动循环呼吸技术能促进下颈髓损伤术后早期痰液的排出,改善肺功能指标,减少肺部并发症的发生。
Objective To explore the effects of respiratory resistance training combined with active cycle of breathing techniques in nursing care for patients with lower cervical spinal cord injury.Methods From April 2017 to March 2019,we selected 78 patients with lower cervical spinal cord injury in Trauma Emergency Center of the Third Affiliated Hospital of Hebei Medical University as subjects.All patients were divided into observation group and control group with the method of random number table,39 cases in each group.Control group carried out the respiratory system nursing with the self-developed compound sequential technology on sputum exclusion.On the basis of that in control group,observation group implemented the resistance inspiratory training and expiratory training with the respiratory resistance training combined with active cycle of breathing techniques.We compared the volume of sputum excretion,pulmonary function[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),peak expiratory flow(PEF)and maximal expiratory pressure(MEP)]and incidences of pulmonary complications during hospitalization between two groups.Results A total of four weeks after training,the volume of sputum excretion of observation group on the fifth day after surgery was lower than that of control group with a statistical difference(P<0.05).There were four pulmonary function indexes(FVC、FEV1、PEF、MEP)in observation group better than those in control group with statistical differences(P<0.05).The incidence of pulmonary complications of observation group was lower than that of control group with a statistical difference(P<0.05).Conclusions Respiratory resistance training combined with active cycle of breathing techniques can promote the early excretion of sputum of patients with lower cervical spinal cord injury,improve the pulmonary function and reduce the incidence of pulmonary complications.
作者
柴文茹
国春花
崔怡
雷敏
丁俊琴
李秀婷
张成祥
Chai Wenru;Guo Chunhua;Cui Yi;Lei Min;Ding Junqin;Li Xiuting;Zhang Chengxiang(Trauma Emergency Center,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,China;Nursing Department,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,China;Nutrition Department,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,China;Electrocardiogram Room,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,China)
出处
《中华现代护理杂志》
2020年第19期2574-2578,共5页
Chinese Journal of Modern Nursing
基金
2019年河北省卫生和计划生育委员会科研立项(20190412)。
关键词
康复护理
颈髓损伤
呼吸抗阻训练
主动循环呼吸技术
并发症
肺功能
复合序贯排痰技术
Rehabilitation nursing
Cervical spinal cord injury
Respiratory resistance training
Active cycle of breathing techniques
Complications
Respiratory function
Compound sequential technology on sputum exclusion
