主动呼吸循环技术对急性加重期慢性阻塞性肺疾病的干预效果

发布时间：2018-07-02 20:46

本文选题：主动呼吸循环技术 + 慢性阻塞性肺疾病　；参考：《上海交通大学学报(医学版)》2014年06期

【摘要】：目的评价主动呼吸循环技术(ACBT)对急性加重期慢性阻塞性肺疾病(COPD)患者的干预效果。方法根据日排痰量将70例急性加重期COPD患者分为多痰组和少痰组,每组35例。所有患者均给予ACBT干预(ACBT、体位引流)和常规干预(呼吸科常规护理),采用自身配对设计,密闭信封法确定两种方法的随机干预顺序,观察排痰量、血氧饱和度(SpO2)和心率的变化。结果在多痰组,与呼吸科常规干预比较,ACBT干预使患者干预期间和干预后1 h的排痰量显著增加,干预期间SpO2无明显变化,心率明显降低。在少痰组,与呼吸科常规干预比较,ACBT干预使患者1 d的排痰总量显著增加,干预期间和干预后1 h排痰量则无明显变化,干预期间SpO2和心率明显改善。两组患者经ACBT干预后均未发生严重不良反应。结论 ACBT干预对急性加重期COPD患者有一定的短期排痰和呼吸锻炼效果,且无明显不良反应。
[Abstract]:Objective to evaluate the effect of active respiration and circulatory technique (ACBT) on patients with acute exacerbation chronic obstructive pulmonary disease (COPD). Methods according to the amount of daily sputum excretion, 70 COPD patients with acute exacerbation were divided into multiple sputum group and small sputum group with 35 cases in each group. All patients were given ACBT intervention (ACBT, posture drainage) and routine intervention (routine nursing care in respiratory department). The random intervention order was determined by self-matched design and closed envelope method. The changes of sputum excretion, oxygen saturation (SPO _ 2) and heart rate were observed. Results in multiple sputum group, compared with routine intervention in respiratory department, ACBT intervention significantly increased sputum excretion during intervention and 1 hour after intervention, SPO _ 2 did not change and heart rate decreased significantly during intervention. In the small sputum group, compared with routine intervention in respiratory department, ACBT intervention significantly increased the total amount of sputum excretion in one day, but did not change significantly during the intervention period and 1 hour after intervention. During the intervention period, SPO 2 and heart rate were significantly improved. There were no serious adverse reactions in both groups after ACBT intervention. Conclusion ACBT intervention has a short-term effect on sputum drainage and respiratory exercise in COPD patients with acute exacerbation and no obvious adverse reactions.
【作者单位】：重庆医科大学附属第二医院呼吸内科;
【基金】：重庆市卫生局医学科研计划项目(2013-2-035)~~
【分类号】：R563.9

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