摘要
目的:探讨体外振动排痰仪辅助支气管扩张患儿的排痰效果,从而促进患儿康复。方法:选取2020年12月—2022年3月首都医科大学附属北京儿童医院呼吸二科收治的80例支气管扩张患儿,根据患儿入院时间不同分为对照组和试验组,对照组患儿(n=40)由本科2020年12月—2021年6月收治,采取常规叩背排痰方法,试验组患儿(n=40)由本科2021年7月—2022年3月收治,采取体外振动排痰仪辅助排痰,比较两组患儿排痰后1、3、5、7 d排痰量、住院时间、患儿家长满意率及临床肺部感染评分(CPIS)。结果:对照组患儿排痰后1、3、5、7 d排痰量均少于试验组(P<0.01);试验组患儿住院时间短于对照组,CPIS优于对照组(P<0.01);治疗1个月后,观察组患儿肺功能明显优于对照组(P<0.05);试验组患儿家长总满意率(95.00%)高于对照组(77.50%)(P<0.05)。结论:体外振动排痰仪辅助排痰在治疗支气管扩张患儿排痰中应用效果良好,可明显降低患儿肺部感染评分,缩短患儿的住院时间。
Objective:To explore the effect of external vibrating sputum excretion instrument on sputum excretion in children with bronchiectasis so as to promote their rehabilitation.Method:From December 2020 to March 2022,80 children with Beijing Children's Hospital,Capital Medical University were selected,the patients were divided into two groups according to different time of admission:the control group(n=40)and the experimental group(n=40).The patients in the control group were admitted to the author's department from December 2020 to June 2021,routine back percussion sputum excretion method was adopted.The patients in the experimental group were admitted to the author's department from July 2021 to March 2022,the external vibration sputum excretion instrument was used to assist sputum excretion.The expectoration volume on the 1st,3rd,5th and 7th day after sputum excretion,the time of hospitalization,parents'satisfaction rate and clinical pulmonary infection score(CPIS)were compared between the two groups.Result:The amount of sputum excretion in the control group was less than that in the experimental group on the 1st,3rd,5th and 7th day after sputum excretion(P<0.01),and the time of hospitalization in the experimental group was shorter than that in the control group,the CPIS was better than that in the control group(P<0.01),after 1 month of treatment,the lung function of the observation group was significantly better than that of the control group(P<0.05);and the total satisfaction rate of parents in the experimental group(95.00%)was higher than that in the control group(77.50%)(P<0.05).Conclusion:The application of external vibrating sputum excretion instrument in the treatment of children with bronchiectasis is effective,it can significantly reduce the score of pulmonary infection,and shorten the time of hospitalization.
作者
王月
张雨晴
WANG Yue;ZHANG Yuqing(Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;不详)
出处
《中国医学创新》
CAS
2023年第24期98-101,共4页
Medical Innovation of China
基金
首都医科大学附属北京儿童医院护理专项基金(YHL202013)
北京医管局扬帆计划项目(ZYLX202118)。
关键词
支气管扩张
患儿
体外振动排痰仪
排痰
Bronchiectasis
Children
External vibrating sputum excretion instrument
Sputum excretion
