摘要
目的分析乙酰半胱氨酸肺泡灌洗术联合振动排痰仪对肺不张患儿临床症状及血气分析的影响.方法选取该院2020年3月—2021年10月收治的80例肺不张患儿为研究对象,根据随机数字表法分为两组,各40例.对照组采用乙酰半胱氨酸肺泡灌洗术进行治疗,观察组在对照组基础上联合振动排痰仪治疗.比较两组临床症状缓解时间、血气分析指标.结果观察组体温恢复正常时间(4.27±0.48)d、肺啰音消失时间(7.07±0.73)d、咳嗽消失时间(6.04±0.62)d均短于对照组,组间差异有统计学意义(P<0.05).治疗前,两组动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))比较,组间差异无统计学意义(P>0.05);治疗10 d,两组PaO_(2)、SaO_(2)均较治疗前升高,PaCO_(2)均较治疗前降低,且观察组PaO_(2)(79.25±8.05)mmHg、SaO_(2)(96.71±9.72)%均高于对照组,PaCO_(2)(36.85±3.64)mmHg低于对照组,组间差异有统计学意义(P<0.05).结论乙酰半胱氨酸肺泡灌洗术联合振动排痰仪可以有效减轻肺不张患儿的临床症状,改善血气分析指标,促进其康复.
Objective To analyze the effect of acetylcysteine bronchoalveolar lavage surgery combined with vibratory sputum ejector on the clinical symptoms and blood gas analysis of children with atelectasis.Methods 80 children with atelectasis admitted to the hospital from March 2020 to October 2021 were selected as the research objects,and divided into two groups according to the random number table method,with 40 cases in each group.The control group was treated with acetylcysteine bronchoalveolar lavage surgery,and the observation group was treated with vibratory sputum ejector on the basis of the control group.The clinical symptom relief time and blood gas analysis indexes were compared between the two groups.Results The time for body temperature to return to normal,the time for disappearance of lung rales,and the time for disappearance of cough in the observation group were(4.27±0.48)d,(7.07±0.73)d,(6.04±0.62)d,respectively,which were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference between the two groups in arterial blood partial pressure of oxygen(PaO_(2)),arterial blood partial pressure of carbon dioxide(PaCO_(2)),and blood oxygen saturation(SaO_(2))(P>0.05);After 10 days of treatment,PaO_(2)and SaO_(2)in both groups were increased compared with those before treatment,and PaCO_(2)was decreased compared with that before treatment,the PaO_(2)and SaO_(2)in the observation group were(79.25±8.05)mmHg and(96.71±9.72)%,respectively,which were higher than those in the control group,and PaCO_(2)was(36.85±3.64)mmHg,which was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Acetylcysteine bronchoalveolar lavage surgery combined with vibratory sputum ejector can effectively relieve the clinical symptoms of children with atelectasis,improve blood gas analysis indicators,and promote their recovery.
作者
张晓丽
ZHANG Xiaoli(Department of Pediatrics,People's Hospital of Lanling County,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2022年第10期97-99,共3页
Reflexology And Rehabilitation Medicine
关键词
肺不张
肺泡灌洗术
乙酰半胱氨酸
振动排痰仪
临床症状
血气分析
Atelectasis
Bronchoalveolar lavage surgery
Acetylcysteine
Vibratory sputum ejector
Clinical symptoms
Blood gas analysis
