首页|呼气相正压振荡技术联合氧气雾化治疗具有气道黏液高分泌住院患者的临床疗效

呼气相正压振荡技术联合氧气雾化治疗具有气道黏液高分泌住院患者的临床疗效

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目的:探讨呼气相正压振荡(OPEP)技术联合氧气射流雾化治疗具有气道黏液高分泌住院患者的临床疗效.方法:纳入2020年1月至2022年1月本院收治的具有气道黏液高分泌的住院患者40例,随机分成对照组和试验组,每组20例.对照组采用氧气射流雾化治疗,试验组采用呼吸训练器联合氧气射流雾化进行治疗,比较治疗后两组患者的临床疗效.结果:治疗后试验组24h痰量较治疗前显著减少(P<0.05),但两组组间比较差异无统计学意义(P>0.05).治疗后两组咳嗽难度、痰液性状、咳嗽症状评分及Borg评分、临床慢性阻塞性肺疾病调查问卷(CCQ)评分、慢性阻塞性肺疾病评估测试(CAT)评分较治疗前均显著降低,且治疗后试验组咳嗽难度、咳嗽症状评分及Borg、CCQ、CAT评分均优于对照组(均P<0.05).试验组与对照组的住院时间分别为(9.41±5.34)d、(9.17±3.88)d,组间比较无差异统计学意义(P>0.05).结论:OPEP联合氧气雾化可促进具有气道黏液高分泌住院患者的排痰,降低患者咳嗽难度,改善咳嗽症状及呼吸困难.
Clinical efficacy of oscillatory positive expiratory pressure combined with oxygen atomization in the treatment of inpatients with airway mucus hypersecretion
Objective:To investigate the clinical efficacy of oscillatory positive expiratory pressure(OPEP)combined with oxygen jet atomization in the treatment of inpatients with airway mucus hypersecretion.Methods:Forty inpatients with airway mucus hypersecretion admitted to our hospital from January 2020 to January 2022 were randomly divided into control group and experimental group,with 20 cases in each group.The control group was treated with oxygen jet atomization,and the experimental group was treated with respiratory trainer combined with oxygen jet atomization.The clinical efficacy of the two groups after treatment was compared.Results:After treatment,the 24 h sputum volume in the experimental group was significantly lower than that before treatment(P<0.05),but there was no significant difference between the two groups(P>0.05).After treatment,the cough difficulty,sputum character,cough symptom,Borg score,clinical COPD questionnaire(CCQ)score and COPD assessment test(CAT)score of the two groups were significantly lower than those before treatment,and the cough difficulty,cough symptom,Borg,CCQ and CAT scores of the experimental group were better than those of the control group(all P<0.05).The hospitalization stay of the experimental group and the control group were(9.41±5.34)days and(9.17±3.88)days,respectively,with no significant difference between the two groups(P>0.05).Conclusions:OPEP combined with oxygen atomization can promote sputum excretion in hospitalized patients with airway mucus hypersecretion,and reduce the difficulty of cough,improve cough symptoms and dyspnea.

airway mucus hypersecretionoscillatory positive expiratory pressureoxygen atomization inhalationexpectoration

钟丽红、梁剑毅、刘智勇、陈志锋、张森、刘莹、莫光洲

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罗定市人民医院呼吸与危重症医学科,广东云浮 527200

罗定市人民医院老年医学科,广东云浮 527200

气道黏液高分泌 呼气相正压振荡技术 氧气雾化吸入 排痰

广东省医学科学技术研究基金

A2019124

2024

广州医科大学学报
广州医学院

广州医科大学学报

影响因子:0.47
ISSN:2095-9664
年,卷(期):2024.52(3)
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