摘要
目的比较振动排痰器排痰法与人工叩背排痰法对脊髓损伤并发肺部感染患者的排痰效果。方法将33例脊髓损伤并发肺部感染患者分为排痰机排痰组(n=18)和人工排痰组(n=15),分别采用振动排痰机排痰与人工叩背排痰,比较两组患者排痰前后肺部的听诊情况、经皮血氧饱和度(SpO2)的变化、体温恢复正常的天数以及治疗前后血常规白细胞计数和胸片的情况。结果排痰机排痰组患者排痰后肺部的听诊情况好于人工排痰组(P<0·05),而SpO2与人工排痰组比较无显著性差异(P>0·05);经过治疗后,排痰机排痰组患者的体温恢复时间较人工排痰组缩短(P<0·05),胸片改善情况亦优于人工排痰组(P<0·05)。结论振动排痰机的排痰效果优于人工叩背排痰法。
Objective To compare the effects of discharging sputum with machine vibration and percussion on back in patients with spinal cord injury （SCI） complicated with lung infection. Methods 33 patients were divided into machine group （n= 18, discharging sputum with machine vibration） and percussion group （n= 15, discharging sputum with percussion on back）. Then the auscultation of lungs, change of SpO2, abatement time of fever, white blood cells count and X-ray results of chest were compared to estimate the effect of discharging sputum. Results There was a significant difference in the auscultation of lungs between the two groups （ P〈 0. 05）, while no significant difference was founded in the SpO2 between two groups after sputum discharged （P〉0.05）. The abatement time of fever was shortened significantly in the machine group after treatment（ P〈0.05）. The X-ray results improved significantly in the machine group, compared with percussion group （ P〈 0.05）. Conclusion The effect of discharging sputum with machine vibration is better than percussion on back.
出处
《中国康复理论与实践》
CSCD
2006年第7期576-577,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脊髓损伤
叩背
振动
排痰
护理
spinal cord injury
percussion on back
vibration
discharging sputum
nursing
