间歇雾化吸入联合振动排痰机治疗老年COPD的排痰效果.docVIP

间歇雾化吸入联合振动排痰机治疗COPD患者的效果观察 方丽华, 骆珍銮, 彭春了 (广东省东莞东华医院，呼吸内科，广东东莞523110) 【摘要】 目的 观察间歇氧气雾化吸入联合振动排痰机治疗COPD患者的排痰效果。方法 将呼吸内科收治的COPD患者随机分为观察组50例和对照组50例，两组患者均进行常规治疗，观察组采用间歇氧气雾化吸入联合振动排痰机治疗，对照组采用传统持续雾化吸入联合振动排痰机治疗，比较两组的排痰效果和不良反应。 结果 观察组在雾化吸入1、3、5天的日排痰量较对照组多，观察组在雾化过程中发生的不良反应较对照组少，差异有统计学意义（P＜0.05）。 结论 间歇氧气雾化吸入联合振动排痰机治疗COPD排痰效果好，不良反应较少，更容易被患者接受。 【关键词】 雾化吸入；慢性阻塞性肺疾病；振动排痰机 Observation on the effect of intermittent atomization combined vibration expectoration machine on COPD Fang Lihua Luo Zhenluan Xie Junling Tungwah Hospital in Dongguan Guangdong 523110 [Abstract]： 0bjective To observe the effect of intermittent atomization combined vibration expectoration machine on COPD ．Methods 100 patients with COPD were randomly divided into the observation group and control group,each group had 50 cases．Except routine drug treatment，the observation group adopted the intermittent atomization combined vibration expectoration machine，but the control group adopted persistent atomization combined vibration expectoration machine ．The effect of eliminating sputum and side effects were compared between the two groups.Results The quantity of sputum was more in the observation group than in the control group on the first,third and the fifith day after atomization. There were less side effects in the observation group. The difference of sputum and side effects were statistically significant between the two groups（P﹤0.05）. Conclusion The intermittent atomization combined vibration expectoration machine improved the effect of eliminating sputum and reduced side effects, It is more easier to be accepted. [Key words] atomization；COPD;. vibration expectoration machine . 慢性阻塞性肺疾病（COPD）是一种以气流受限为特征的常见肺部疾病，常以咳嗽、咳痰、气喘和喘息加重，痰液增多导致小气道阻塞的发生和病原微生物继发感染。临床上常用氧气雾化吸入药物来进行治疗。COPD患者因年龄偏大，肺功能较差，不能按要求完成雾化时间，而且因为发绀、憋气、心悸、喘息加重而拒绝继续进行雾化治疗【1】，导致依从性下降，排痰效果差。我院呼吸内科尝试应用间歇氧气吸入联合振动排痰机治疗COPD患者，报道如下。 资料与方法 1.1 一般资料 选择2011年3月至2012年5月呼吸内科住院的COPD患者100例，男69例，女31例，年龄62-89岁，平均年龄（70.24±6.81）岁，入选标准符合慢性阻塞性肺疾病诊治指南【2】。患者处于急性加重期，咳嗽、咳痰、