主动呼吸循环技术联合振动排痰对脑出血气管切开患者呼吸功能及血氧饱和度的影响被引量：7

Effects of Active Cycle of Breathing Technique Combined with Vibration Sputum Discharge on Respiratory Function and Blood Oxygen Saturation in Patients with Intracerebral Hemorrhage after Tracheotomy

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摘要目的探讨主动呼吸循环技术(ACBT)联合振动排痰在脑出血气管切开患者中的应用价值.方法选择2018年1月—2021年1月该院收治的脑出血气管切开患者372例,按随机数字表法分为两组,每组186例.两组均予以间断氧气雾化联合气道湿化,在此基础上,对照组采用振动排痰,观察组则在对照组基础上采用ACBT,两组均治疗4周.对比两组呼吸功能、血氧饱和度(SpO_(2))及肺部感染发生情况.结果治疗后,观察组第1秒用力呼气容积、用力肺活量、最大吸气压、最大呼气压、SpO_(2)均高于对照组,肺部感染率为1.08%,低于对照组的4.84%,组间差异有统计学意义(P<0.05).结论ACBT联合振动排痰能够有效改善脑出血气管切开患者呼吸功能,提高SpO_(2),减少肺部感染的发生. Objective To explore the application value of active cycle of breathing technique(ACBT)combined with vibration sputum discharge in patients with intracerebral hemorrhage after tracheotomy.Methods 372 patients with intracerebral hemorrhage after tracheotomy admitted to the hospital from January 2018 to January 2021 were selected and divided into two groups according to the random number table method,with 186 cases in each group.Both groups were given intermittent oxygen atomization combined with airway humidification,on this basis,the control group was given vibration sputum discharge,and the observation group was given ACBT on the basis of the control group.Both groups were treated for 4 weeks.The respiratory function,blood oxygen saturation(SpO_(2))and pulmonary infection were compared between the two groups.Results After treatment,the forced expiratory volume in 1 second,forced vital capacit,maximum inspiratory pressure,maximum expiratory pressure,and SpO_(2)in the observation group were higher than those in the control group,the pulmonary infection rate in the observation group was 1.08%,which was lower than 4.84%in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion ACBT combined with vibration sputum discharge can effectively improve respiratory function,improve SpO_(2)and reduce pulmonary infection in patients with intracerebral hemorrhage after tracheotomy.

作者杨坤韩钦凤鹿扬 YANG Kun;HAN Qinfeng;LU Yang(Neurological Intensive Care Unit,Tai'an Central Hospital,Tai'an Shandong,271000,China;Department of Coronary Heart Disease,Tai'an Central Hospital,Tai'an Shandong,271000,China)

机构地区泰安市中心医院神经重症监护病房泰安市中心医院冠心病科

出处《反射疗法与康复医学》 2022年第5期71-73,共3页 Reflexology And Rehabilitation Medicine

关键词脑出血气管切开主动呼吸循环技术振动排痰呼吸功能血氧饱和度 Intracerebral hemorrhage Tracheotomy Active cycle of breathing technique Vibration sputum discharge Respiratory function Blood oxygen saturation

分类号 R743 [医药卫生—神经病学与精神病学]

作者简介杨坤(1980-),男,山东济南人,硕士研究生,主治医师,研究方向:慢性硬膜下血肿治疗。