机械振动排痰辅助治疗小儿肺炎的效果分析.docVIP

机械振动排痰辅助治疗小儿肺炎的效果分析 　　【摘要】 目的：观察机械振动排痰辅助治疗小儿肺炎的临床效果。方法：选取小儿肺炎患儿120例，按照随机数字表法分为机械组和人工组，各60例。机械组机械振动排痰法，人工组采用人工叩击排痰法。比较两组的临床疗效、血气分析指标及其他相关症状的变化，并进行分析。结果：（1）在经过机械振动排痰法对小儿肺炎进行辅助治疗后，机械组总有效率高于人工组（字2=6.972，P=0.001）；（2）两组治疗后呼吸频率（RR）和二氧化碳分压（PCO2）较治疗前降低，氧分压（PO2）较治疗前升高（P0.05或P0.01），而血氧饱和度仅机械组较治疗前升高（P0.05）。经排痰治疗后，机械组RR和PCO2低于人工组，血氧饱和度及PO2高于人工组（P0.05或P0.01）；（3）机械组咳嗽症状消失时间、肺部湿??音消失时间、气促消失时间均短于人工组，每日排痰量多于人工组（P0.05）。结论：机械振动排痰法可改善小儿肺炎患儿的血气分析指标，缩短治疗周期，治疗效果优于传统人工叩击排痰。 　　【关键词】 机械振动； 人工叩击； 小儿肺炎 　　中图分类号 R722 文献标识码 A 文章编号 1674-6805（2016）3-0009-03 　　Clinical Effect of Mechanical Vibration Sputum in the Treatment of Infantile Pneumonia/LUO Xiao-rong.//Chinese and Foreign Medical Research，2016，14（3）：9-11 　　【Abstract】 Objective：To observe the clinical effect of mechanical vibration in the treatment of infantile pneumonia.Method：A total of 120 cases of infantile pneumonia were randomly selected in this study.All patients were divided into two groups：mechanical group（n=60） and artificial group（n=60）.The clinical effect，blood gas analysis and the other related symptoms of two groups were analyzed and compared.Result：（1）The total rate of effective of mechanical group was higher than that of artificial group（字2=6.972，P=0.001）.（2）RR and PCO2 after treatment were lower，and PO2 was higher in two groups than before treatment，but oxygen saturation was higher afer treatment just of mechanical group（P0.05 or P0.01）. After treatment，RR and PCO2 were lower，but oxygen saturation and PO2 of mechanical group were higher than those of artificial group（P0.05 or P0.01）.（3）The disappearance time of pulmonary rale，breath and cough of mechanical group were shorter than those of artificial group， meanwhile the daily sputum volume was more than that in artificial group（P0.05）.Conclusion：The mechanical vibration sputum method can improve blood gas analysis in children with infantile pneumonia，and reduce the treatment cycle，treatment effect is superior to the percussion on back. 　　【Key words】 Mechanical vibra