摘要
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.
Abstract
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.
基金项目
重庆市九龙坡区科技计划(2022-02-025-D)
NETL
NSTL
万方数据