[1]朱文芳,王丽娟,张银萍.呼吸湿化治疗联合咳痰机对脑卒中合并吞咽困难患者咳痰的影响[J].卒中与神经疾病杂志,2018,25(05):549-552.[doi:10.3969/j.issn.1007-0478.2018.05.014]
　Zhu Wenfang,Wang Lijuan,Zhang Yinping..The effect of the combined application of respiratory humidification therapy and the cough assist on cough of patients with stroke[J].Stroke and Nervous Diseases,2018,25(05):549-552.[doi:10.3969/j.issn.1007-0478.2018.05.014]
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呼吸湿化治疗联合咳痰机对脑卒中合并吞咽困难患者咳痰的影响()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第25卷
期数:
2018年05期
页码:
549-552
栏目:
论 著
出版日期:
2018-10-26

文章信息/Info

Title:
The effect of the combined application of respiratory humidification therapy and the cough assist on cough of patients with stroke
文章编号:
1007-0478(2018)05-0549-04
作者:
朱文芳; 王丽娟; 张银萍
430060 武汉大学人民医院神经内科
Author(s):
Zhu Wenfang;  Wang Lijuan;  Zhang Yinping.
Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060
关键词:
呼吸湿化治疗 咳痰机 脑卒中相关性肺炎
Keywords:
Respiratory humidification therapy Cough assist Stroke associated pneumonia
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2018.05.014
文献标志码:
A
摘要:
目的 探讨呼吸湿化治疗联合咳痰机对脑卒中合并吞咽困难患者咳痰的影响。方法 将80例研究对象按住院时间顺序分为对照组(41例)和治疗组(39例),治疗组采用呼吸湿化治疗仪进行呼吸道湿化治疗6h后用无创气道咳痰机辅助排痰; 对照组采用传统的翻身、拍背、雾化、吸痰等常规辅助排痰措施; 观察2组患者治疗结束后总的排痰量、血氧饱和度(SpO2)、呼吸频率(R)、心率(HR)、口干例数和肺部感染发生率。结果 治疗组患者的排痰量和血氧饱和度显著高于对照组,呼吸频率、心率、口干和肺部感染发生率均显著低于对照组(P<0.05)。结论 呼吸湿化治疗和无创气道咳痰机联合应用能够有效清理患者呼吸道分泌物,提高患者血氧饱和度,促进患者咳痰,降低患者脑卒中相关性肺炎的发生率。
Abstract:
ObjectiveTo explore the effect of the combined application of respiratory humidification therapy and the cough assist on cough of patients with stroke.Methods Eighty cases were divided into control group(n=41)and therapy group(n=39)in chronological order. The therapy group was treated with 6 hours high-flow humidification oxygen therapy and then non-invasive cough assist training was given, the control group was given traditional methord like roll over,patting back, atomization,sputum aspiration. After treatment sputum drainage and SpO2, respiratory frequency, heart rate, dry mouth and the incidence of pulmonary infection were observed in two groups.Results The effect of sputum drainage and SpO2 in observation group were significantly higher than with that in control group, while respiratory frequency, heart rate, dry mouth and the incidence of pulmonary infection were significantly lower than the control group after treatment(P<0.05).Conclusion The combined application of respiratory humidification therapy and the non-invasive cough assist could effectively clear the respiratory secretions, improve the patient SpO2, promote the patient cough, reduce the incidence of stroke associated pneumonia in patients.

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更新日期/Last Update: 2018-10-20