慢性阻塞性肺疾病急性加重期患者胸部自拍联合扣背辅助排痰护理观察

摘要

Objective To explore nursing of sputum excretion with selfbeating on chest jointed with back percussion in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods A total of 62 AECOPD cases in our hospital were divided into observation group and control group, with 31 cases in each group.Patients in two groups were treated with anti-inflammatory, cough-reliving, and oxygen inhalation, the observation group with 31 cases was additional given selfbeating on chest jointed with back percussion.Results The observation group had decreased p(CO2) value and increased p(O2) and SaO2 than the control group, the number of disappeared cases with wheezy phlegm was decreased and 24 hour sputum volume increased, the duration of hospitalization was shortened, the differences were statistically significant(P<0.05).The patients in the observation group were easy to discharge sputum, sputum volume increased, chest tightness, asthma, dyspnea, respiratory function were significantly improved compared with the control group.Conclusion The curative effect of sputum excretion with selfbeating on chest jointed with back percussion is significant for treatment of AECOPD, the correct clinical nursing guidance is simple and acceptable and it is safe and effective for the treatment of AECOPD.%目的 探讨慢性阻塞性肺疾病急性加重期(AECOPD)患者采用胸部自拍联合扣背排痰的效果.方法 本院呼吸科收治AECOPD 62例,分成观察组和对照组各31例, 2组均用抗炎、止咳、吸氧等治疗,以后观察组加用胸部自拍联合扣背排痰.结果 观察组较对照组p(CO2)值下降显著, p(O2)与SaO2上升显著,痰鸣音消失例数, 24 h排痰量增加,住院天数缩短,差异均具有统计学意义(P<0.05).观察组患者痰易排出,排痰量增加,胸闷、气喘、呼吸困难改善,呼吸功能较对照组改善显著.结论 胸部自拍联合扣背排痰法治疗AECOPD患者疗效显著,通过临床护理的正确指导方法简单易做,患者能接受,也能自拍,具有操作简单、容易掌握、是治疗和护理AECOPD 一种安全有效的方法.