自制叩背器在新生儿肺炎的临床应用和疗效观察.docVIP

自制叩背器在新生儿肺炎的临床应用和疗效观察 　　【摘要】 目的：探讨自制叩背器在新生儿肺炎的应用和疗效观察。方法：选取2013年10月-2016年1月在福建医科大学附属宁德市医院收治的160例新生儿肺炎患儿，按照随机数字表法将其分为观察组和对照组各80例。对照组采用传统人工徒手拍背方法。观察组采用自制的简易呼吸器面罩叩背器进行拍背。比较两组患儿肺炎症状有否改善以及住院时间。结果：观察组总有效率优于对照组，住院时间短于对照组，差异均有统计学意义（P0.05）。结论：采取自制叩背器来进行胸部物理治疗，效果优于传统人工徒手叩背排痰方法，能有效地促进排痰，减轻肺部感染，缩短肺炎疗程，且自制叩背器材料易取、易于制作，经济实用，便于推广。 　　【关键词】 新生儿肺炎； 自制叩背器； 拍背 　　中图分类号 R473.72 文献标识码 A 文章编号 1674-6805（2016）26-0006-02 　　【Abstract】 Objective：To explore the self back percussion device in the application and efficacy of neonatal pneumonia.Method：From October 2013 to January 2016，160 cases of neonatal pneumonia were admitted to the Affiliated Ningde Hospital of Fujian Medical University，they were randomly divided into the observation group and the control group，80 cases in each group.The control group was used the traditional artificial hand back method，the observation group was used simple respirator mask knocking back to back.two groups of children with pneumonia symptoms and the hospitalization time were compared.Result：The total effect rate in the observation group was significantly better than that in the control group，the hospitalization time in the observation was shorter than that in the control group，there were significant differences in two groups（P0.05）.Conclusion：Taking the self-made knocking back to the chest physical therapy，the effect is better than the traditional manual manual call back expectoration method，can effectively promote expectoration，reduce pulmonary infection，shorten the course of pneumonia，and self back percussion device of easily obtained materials，easy production，real economy use，easy to promote. 　　【Key words】 Neonatal pneumonia； Self back percussion device； Back percussion 　　新生儿期因为各种原因导致的肺部炎症统称为新生儿肺炎[1]。新生儿肺炎是新生儿科常见疾病，占新生儿发病率最高疾病的前三位[2]。由于新生儿呼吸系统发育尚不完善，且不能进行有效咳嗽，对于痰液的清除能力弱使肺部痰液堆积，影响气体交换，易出现呼吸困难[3]。除药物治疗外，气道护理是新生儿肺炎治疗的一项重要措施，而拍背则是气道护理中最基本、最常见的护理干预措施，能缓解新生儿肺炎的主要症状和体征，预防或改善肺部并发症[4]。传统的叩背方法是徒手操作，操作者拱手形成空腔，用一定的力度、频率及方向拍击患儿后背。由于操作者叩击频率低，拍击力度难以把握，且新生儿的背部面积相对