CAJ | 학술논문

[目的]探讨叩击排痰配合呼吸训练对慢性阻塞性肺疾病(COPD )病人肺部体征的影响。[方法]将100例COPD病人随机分成对照组和观察组各50例，两组病人均给予抗感染、祛痰以及对症支持综合治疗，在此基础上观察组采取叩击排痰配合呼吸训练，比较两组病人的临床效果。[结果]两组病人排痰后呼吸、血氧饱和度比较差异有统计学意义(P<0.05)；观察组咳嗽、痰液量及肺啰音消失时间均早于对照组(P<0.05)；观察组临床效果优于对照组(P<0.05)。[结论]采用叩击排痰配合呼吸训练可明显改善 COPD 病人肺部体征，促进排痰，提高治疗效果，促进病人尽快康复。
[목적]탐토고격배담배합호흡훈련대만성조새성폐질병(COPD )병인폐부체정적영향。[방법]장100례COPD병인수궤분성대조조화관찰조각50례，량조병인균급여항감염、거담이급대증지지종합치료，재차기출상관찰조채취고격배담배합호흡훈련，비교량조병인적림상효과。[결과]량조병인배담후호흡、혈양포화도비교차이유통계학의의(P<0.05)；관찰조해수、담액량급폐라음소실시간균조우대조조(P<0.05)；관찰조림상효과우우대조조(P<0.05)。[결론]채용고격배담배합호흡훈련가명현개선 COPD 병인폐부체정，촉진배담，제고치료효과，촉진병인진쾌강복。
Obj ective:To probe into the influence of percussion expectoration combined with respiratory training on pulmonary symptoms in chronic ob-structive pulmonary disease patients.Methods:A total of 100 cases of COPD patients were randomly divided into control group and observation group,50 cases in each.Two groups of patients were treated with anti in-flammatory,expectorant and comprehensive treatment of symptomatic and supportive,besides that the patients in observation group received percus-sion expectoration with breathing exercises.The clinical effect was com-pared between both groups.Results:There was statistically significant difference in breathing after expectoration and oxygen saturation between both groups (P<0.05 );in observation group the disappeared time of cough,sputum volume and pulmonary rales was earlier than that in control group (P<0.05);clinical effect in observation group was better than that in control group (P < 0.05 ).Conclusion:Percussion expectoration with breathing exercises can significantly improve lungs symptoms in patients with COPD,promote expectoration,improve curative effect and promote pa-tients recovery as soon as possible.