中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
23期
2765-2767
,共3页
呼吸道清除系统%老年患者%腹部手术%肺部感染
呼吸道清除繫統%老年患者%腹部手術%肺部感染
호흡도청제계통%노년환자%복부수술%폐부감염
Airway clearance system%Elderly patient%Abdominal operation%Pulmonary infection
目的 比较呼吸道清除系统（VestTM系统）排痰法与传统人工叩击排痰法预防老年腹部手术后肺部感染的效果。方法 将60例老年腹部手术患者随机分为观察组(n=30)和对照组(n=30)，观察组使用VestTM系统排痰法，对照组采用传统人工叩击排痰。比较两组治疗效果。结果 观察组患者第1天排痰量为(25.32±2.12) ml/d，高于对照组第1天排痰量(14.20±1.58) ml/d，差异有统计学意义(t =23.04，P＜0.05)，第2，3,4天两组患者排痰量比较差异均有统计学意义(P＜0.05)；观察组刀口疼痛例数为6例，VAS评分为(4.2±0.2)分，体位配合困难例数为3例，对照组分别为为21例，(7.2±0.3)分，16例，两组以上三项比较差异均有统计学意义（x2=13.20，11.09，t =45.57，P＜0.05）；在血流动力学、引流液的量方面比较差异无统计学意义(P＞0.05)。结论 VestTM系统的排痰效果和患者的接受程度优于传统人工叩击排痰法，可有效预防老年腹部手术后肺部感染的发生。
目的 比較呼吸道清除繫統（VestTM繫統）排痰法與傳統人工叩擊排痰法預防老年腹部手術後肺部感染的效果。方法 將60例老年腹部手術患者隨機分為觀察組(n=30)和對照組(n=30)，觀察組使用VestTM繫統排痰法，對照組採用傳統人工叩擊排痰。比較兩組治療效果。結果 觀察組患者第1天排痰量為(25.32±2.12) ml/d，高于對照組第1天排痰量(14.20±1.58) ml/d，差異有統計學意義(t =23.04，P＜0.05)，第2，3,4天兩組患者排痰量比較差異均有統計學意義(P＜0.05)；觀察組刀口疼痛例數為6例，VAS評分為(4.2±0.2)分，體位配閤睏難例數為3例，對照組分彆為為21例，(7.2±0.3)分，16例，兩組以上三項比較差異均有統計學意義（x2=13.20，11.09，t =45.57，P＜0.05）；在血流動力學、引流液的量方麵比較差異無統計學意義(P＞0.05)。結論 VestTM繫統的排痰效果和患者的接受程度優于傳統人工叩擊排痰法，可有效預防老年腹部手術後肺部感染的髮生。
목적 비교호흡도청제계통（VestTM계통）배담법여전통인공고격배담법예방노년복부수술후폐부감염적효과。방법 장60례노년복부수술환자수궤분위관찰조(n=30)화대조조(n=30)，관찰조사용VestTM계통배담법，대조조채용전통인공고격배담。비교량조치료효과。결과 관찰조환자제1천배담량위(25.32±2.12) ml/d，고우대조조제1천배담량(14.20±1.58) ml/d，차이유통계학의의(t =23.04，P＜0.05)，제2，3,4천량조환자배담량비교차이균유통계학의의(P＜0.05)；관찰조도구동통례수위6례，VAS평분위(4.2±0.2)분，체위배합곤난례수위3례，대조조분별위위21례，(7.2±0.3)분，16례，량조이상삼항비교차이균유통계학의의（x2=13.20，11.09，t =45.57，P＜0.05）；재혈류동역학、인류액적량방면비교차이무통계학의의(P＞0.05)。결론 VestTM계통적배담효과화환자적접수정도우우전통인공고격배담법，가유효예방노년복부수술후폐부감염적발생。
Objective To compare the effect of airway clearance system (VestTM system) and traditional person knocking method on expectoration and pulmonary infection prevention in elderly patients undergone abdominal operation. Methods 60 cases of elderly patients undergone abdominal operation were randomly divided into observation group (n = 30) and control group (n = 30). The control group received person knocking method to promote expectoration while the observation group was treated with VestTM system.Clinical effect was compared between the groups. Results Sputum volume on day 1 of the observation group [(25.32 ± 2.12) ml/d] was higher than that of the control group [(14.20 ± 1.58) ml/d], and the difference was statistically significant (t = 23.04, P ＜ 0.05). There were also significant differences of sputum volume on day 2, day 3 and day4 (P＜0.05). 6 cases of cut pain, (4.2±0.2) scores of VAS and3 cases of difficulty in position cooperation were reported in the observation group, while the control group reported 21 cases,(7.2±0.3) scores and 16 cases, respectively, the differences were statistically significant (x2 = 13.20,11.09, respectively, t = 45. 57, P ＜ 0.05). There was no significant difference regarding hemodynamics and drainage volume (P ＞ 0.05). Conclusions Compared with traditional person knocking method, the VestTM system has satisfying effect of expectoration and popularity with patients, and can effectively prevent pulmonary infection in elderly patients undergone abdominal operation.
