振动排痰仪在外伤致高位脊髓损伤术后合并呼吸衰竭患者的应用及疗效.PDFVIP

/index.php/gjph GJPH, 2016, Vol.3, No.1 Application and effect of vibration expectoration instrument in trauma-induced spinal cord injury patients with respiratory failure Ai-xia Wu, Chun-juan Lu Emergency Department, Changzheng Hospital of the Second Military Medical University, Shanghai, China Received: Jul 14, 2015 Accepted: Apr 25, 2016 Published: May 19, 2016 DOI: 10.14725/gjph.v3n1a1257 URL: /10.14725/gjph.v3n1a1257 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective: To evaluate the curative effect of vibration expectoration instrument in traumatic spinal cord injury patients with respiratory failure. Methods: Patients with postoperative spinal cord injury patients in combination with respiratory failure in Shanghai Changzheng Hosiptal ICU from 2013-01 to 2014-01 were selected and randomly divided into 2 groups. Control group: 28 cases were treated with conventional airway suctioning care; experimental group: 26 cases were treated with vibration expectoration 2 times a day besides conventional airway suctioning care. Compared the PaO /FiO , PaCO , pH, Ppeak between the experimental 2 2 2 group and control group, and made statistical analysis. Results: Patients in the experimental group had higher oxygenation index, reduced lung infection incidence, and less ventilator dependence. Conclusion: vibration expectoration instrument is safe and feasible for patients with spinal cord injury patients combined with respiratory failure, providing physicians a better way to promote expectoration and ventilator d