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机械振动排痰应用于支气管肺炎患儿的临床疗效分析

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目的:探讨机械振动排痰辅助治疗支气管肺炎患儿的疗效.方法:选取支气管肺炎患儿100例,随机分为对照组和观察组,每组50例,2组均予以退热、止咳、平喘、抗感染等对症治疗,在此基础上对照组采用人工叩击排痰方式,观察组采用机械振动排痰方式,比较2组临床疗效、患儿咳嗽消失时间、呼吸急促消失时间、肺部啰音消失时间、住院时间、血气指标.结果:观察组治疗总有效率(96.00%)高于对照组(82.00%),差异有统计学意义(P<0.05);与对照组相比,观察组咳嗽时间(4.18±1.36)d、呼吸急促时间(5.19±0.24)d、肺部啰音消失时间(4.87±1.22)d、住院时间(5.87±1.27)d明显缩短;治疗后,2组SaO2、PO2 水平均升高,PCO2 水平均下降,且观察组 SaO2(98.64±2.54)%、PO2(95.41±3.58)mmHg、PCO2(38.84±1.54)mmHg水平优于对照组(P<0.05).结论:机械振动排痰辅助治疗支气管肺炎患儿,可以改善患儿症状,缩短住院时间,效果显著.
Clinical Curative Effect Analysis of Mechanical Vibration Expectoration in Pediatric Patients with Bronchial Pneumonia
Objective:To explore the curative effect and symptom improvement effect of mechanical vibration expectoration in pediatric patients with bronchial pneumonia.Methods:A total of 100 pediatric patients with bronchial pneumonia who were treated.They were numbered according to the order of disease treatment.They were divided into a control group and an observation group,Both groups were given symptomatic treatment such as pyretolysis,relieving cough,relieving asthma,and anti-infection.The artifi-cial percussion sputum excretion method and mechanical vibration sputum excretion method were performed respectively,and 50 ca-ses were included in each group.We observed and compared the clinical efficacy,cough time,shortness of breath time,pulmonary rales symptoms disappear time,hospitalization time,and blood gas index of the two groups.Results:The total effective rate of treat-ment in the observation group(96.00%)was significantly higher than that in the control group(82.00%)(P<0.05).Compared with the control group,cough time(4.18±1.36)d,shortness of breath time(5.19±0.24)d,pulmonary rales symptoms disappear time(4.87±1.22)d,hospitalization time in the observation group was significantly shortened(5.87±1.27)d.After treatment,the levels of SaO2 and PO2 in the two groups increased,and the level of PCO2 decreased.The levels of SaO2(98.64±2.54)%,PO2(95.41±3.58)mmHg and PCO2(38.84±1.54)mmHg in the observation group were better than those in the control group(P<0.05).Conclusion:The application of mechanical vibration expectoration in the treatment of bronchial pneumonia can play a sig-nificant therapeutic effect,effectively alleviate the symptoms of pediatric patients,and improve the blood gas index,so as to achieve the therapeutic goal of shortening the course of the disease.

mechanical vibration expectorationbronchial pneumoniaclinical efficacy

鲁金、周玲

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重庆市九龙坡区人民医院儿科(四川重庆 400050)

机械振动排痰 支气管肺炎 临床疗效

重庆市九龙坡区科技计划

2022-02-025-D

2024

长治医学院学报
长治医学院

长治医学院学报

影响因子:0.609
ISSN:1006-0588
年,卷(期):2024.38(4)
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