《多发肋骨骨折患者氧气雾化气管刺激排痰疗效观1.doc

多发肋骨骨折患者氧气雾化吸入刺激气管咳嗽排痰的疗效观察 汤梅 阜阳市人民医院胸外科 【摘要】 目的 观察氧气雾化吸入后刺激气管促进多发肋骨骨折患者咳嗽排痰的效果。方法 65例多发肋骨骨折患者按随机数字法分为观察组33例和对照组32例。观察组采用氧气雾化吸入5分钟后刺激气管1-2下，让患者被动咳嗽咳痰、雾化吸入后10分钟，再刺激患者气管1-2下。对照组给予传统超声雾化吸入，鼓励患者咳嗽咳痰。雾化后30分钟观察记录患者肺部听诊、咳嗽能力的变化。结果 观察组患者肺部听诊显效、好转例次及咳嗽能力主观评价达完全、部分能力的例次，均优于对照组（P＜0.01）。结论 氧气雾化吸入中、吸入后进行刺激气管咳嗽咳痰，能提高多发肋骨骨折患者的排痰效果，减少并发症的发生。 【关键词】多发肋骨骨折；氧气雾化吸入；刺激气管；咳嗽咳痰 Patients with multiple rib fractures?of oxygen inhalation?to stimulate trachea?observation?curative effect of coughexpectoration Tang Mei Department of thoracic surgery Fuyang Peoples Hospital [Abstract]?Objective To observe the effect of?oxygen atomization inhalation?after stimulation?of tracheal?promote multiple?cough?expectoration?effect?of rib fracture.Methods 65 cases of?patients with multiple rib fractureswere randomly?divided into the observation group?33cases and control group with 32 cases.?The observation group was treated with?oxygen inhalation in?5 minutes after the?stimulation of?tracheal?1-2,?let the patient?coughexpectoration,?passive?10 minutes?following inhalation,and then stimulated?with tracheal?1-2.?The control group was given?traditional?ultrasonic atomizing inhalation,encourage patients to?cough and expectoration.?Changes in the?30 minutes?were observed?lung auscultation,?cough ability?after atomization.?Results?the patients in the observation group were?markedly?improved,?auscultation of the lungs?and?cough?were?subjective evaluationcapacity,?ability to?complete?part of?cases,?were superior to the control group?(P 0.01).?Conclusion?oxygen inhalation,?stimulating?cough and expectoration?after? [keyword]?multiple rib?fractures;?oxygen atomizing inhalation;?stimulate the trachea;?cough and expectoration 多发肋骨骨折是临床上常见的一种骨折类型，是指多处、多根肋骨同时发生骨折的一种疾病。患者由于胸壁疼痛，剧怕咳嗽，痰液不易咳出，易出现低氧血症及二氧化碳潴留，甚至肺不张、肺部感染等。为了提高多发肋骨骨折患者的治愈率，减少并发症，我科采用氧化雾化吸入中、吸入后刺激气管，诱导患者咳嗽排痰，效果不错，现报告如下。 对象与方法 1.1临床资料 2013年6月-2013年12月，我科共收治多发肋骨骨折患者65例，发病前无肺部慢性病，其中伴血气胸40例，肺挫伤25例，男54例，女11例，年龄平均43岁。按随机数字法分为2组。观察组33例，对照组32例，2组患者全部诊断为多发肋骨骨折，入院治疗方