振动正压呼气对慢阻肺急性加重患者排痰及肺功能的影响
发布时间：2019-01-03 07:12
【摘要】：目的:观察振动正压呼气对慢阻肺急性加重患者排痰、肺功能及临床症状的影响方法:选择2016年09月-2017年03月在我科治疗的慢阻肺急性加重患者120例,其中男83例,女37例,年龄47-96岁,平均年龄71.85±9.02岁。所有患者均符合2016慢性阻塞性肺疾病全球倡议(GOLD指南)中慢性阻塞性肺疾病的诊断标准,且符合其中对于急性加重的定义。将患者随机分为对照组和治疗组各60例,对照组予以止咳化痰、解痉平喘及抗感染等常规治疗,治疗组在对照组常规治疗基础上加用振动正压呼气装装置治疗一周。观察1.两组患者治疗后1-7天痰的变化(痰量、痰液颜色、痰液粘稠度)2.两组患者治疗后肺功能的变化:第一秒用力呼气容积(FEV1),第一秒用力呼气容积占预计值的百分比(FEV1%pred)3.两组患者治疗后临床症状评分的改变:慢性阻塞性肺疾病评估测试评分(CAT评分)、转化呼吸困难指数评分(TDI评分)。结果:1.治疗组患者第1-3天平均排痰量较对照组明显增多(P0.05);治疗组患者第3天痰色评分较对照组明显低(P0.05);第3天痰液粘稠度较对照组下降显著(P0.05)2.治疗组第3天FEV1及FEV1%pred较对照组升高明显,升高值比较有统计学意义(P0.05)3.第3天治疗组CAT评分下降较对照组明显,下降值比较有统计学意义(P0.05);第3天TDI评分治疗组较对照组升高,升高值比较有统计学意义(P0.05)结论:1.振动正压呼气治疗法可有效促进慢阻肺急性加重患者排痰2.振动正压呼气治疗法可改善慢阻肺急性加重患者肺功能3.振动正压呼气治疗法可改善慢阻肺急性加重患者临床症状
[Abstract]:Objective: to observe the effect of positive vibration expiratory pressure on sputum excretion, pulmonary function and clinical symptoms in patients with acute exacerbation of COPD. Methods: 120 patients with acute exacerbation of COPD treated in our department from September 2016 to March 2017 were selected, including 83 males and 37 females. The average age was 71.85 卤9.02 years. All patients met the diagnostic criteria of the 2016 Global Initiative for chronic obstructive Pulmonary Disease (GOLD) and the definition of acute exacerbation. The patients were randomly divided into control group (n = 60) and treatment group (n = 60). The control group was treated with routine treatment such as relieving cough and resolving phlegm, spasmolysis and anti-infection. The treatment group was treated with positive vibratory expiratory device for one week on the basis of routine treatment in the control group. Observation 1. The changes of sputum (sputum volume, sputum color, sputum viscosity) in both groups were 1-7 days after treatment. Changes in pulmonary function after treatment: forced expiratory volume in the first second (FEV1) and forced expiratory volume in the first second as a percentage of the predicted value (FEV1%pred). The changes of clinical symptom score after treatment: chronic obstructive pulmonary disease assessment test score (CAT), transforming dyspnea index score (TDI score). Results: 1. The average amount of sputum excretion in the treatment group was significantly higher than that in the control group on the 1-3 day (P0.05); the phlegm color score on the 3rd day in the treatment group was significantly lower than that in the control group (P0.05); the viscosity of sputum in the treatment group was significantly lower than that in the control group (P0.05) on the 3rd day (P0.05). FEV1 and FEV1%pred in the treatment group were significantly higher than those in the control group on day 3 (P0.05). On the 3rd day, the CAT score in the treatment group was significantly lower than that in the control group (P0.05), and the TDI score in the treatment group was higher than that in the control group on the 3rd day (P0.05). Conclusion: 1. Positive vibratory expiratory therapy can effectively promote sputum excretion in patients with acute exacerbation of COPD. Positive vibratory expiratory therapy can improve pulmonary function in patients with acute exacerbation of COPD. Positive vibratory expiratory therapy can improve clinical symptoms in patients with acute exacerbation of COPD
【学位授予单位】：扬州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R563.9
[Abstract]:Objective: to observe the effect of positive vibration expiratory pressure on sputum excretion, pulmonary function and clinical symptoms in patients with acute exacerbation of COPD. Methods: 120 patients with acute exacerbation of COPD treated in our department from September 2016 to March 2017 were selected, including 83 males and 37 females. The average age was 71.85 卤9.02 years. All patients met the diagnostic criteria of the 2016 Global Initiative for chronic obstructive Pulmonary Disease (GOLD) and the definition of acute exacerbation. The patients were randomly divided into control group (n = 60) and treatment group (n = 60). The control group was treated with routine treatment such as relieving cough and resolving phlegm, spasmolysis and anti-infection. The treatment group was treated with positive vibratory expiratory device for one week on the basis of routine treatment in the control group. Observation 1. The changes of sputum (sputum volume, sputum color, sputum viscosity) in both groups were 1-7 days after treatment. Changes in pulmonary function after treatment: forced expiratory volume in the first second (FEV1) and forced expiratory volume in the first second as a percentage of the predicted value (FEV1%pred). The changes of clinical symptom score after treatment: chronic obstructive pulmonary disease assessment test score (CAT), transforming dyspnea index score (TDI score). Results: 1. The average amount of sputum excretion in the treatment group was significantly higher than that in the control group on the 1-3 day (P0.05); the phlegm color score on the 3rd day in the treatment group was significantly lower than that in the control group (P0.05); the viscosity of sputum in the treatment group was significantly lower than that in the control group (P0.05) on the 3rd day (P0.05). FEV1 and FEV1%pred in the treatment group were significantly higher than those in the control group on day 3 (P0.05). On the 3rd day, the CAT score in the treatment group was significantly lower than that in the control group (P0.05), and the TDI score in the treatment group was higher than that in the control group on the 3rd day (P0.05). Conclusion: 1. Positive vibratory expiratory therapy can effectively promote sputum excretion in patients with acute exacerbation of COPD. Positive vibratory expiratory therapy can improve pulmonary function in patients with acute exacerbation of COPD. Positive vibratory expiratory therapy can improve clinical symptoms in patients with acute exacerbation of COPD
【学位授予单位】：扬州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R563.9
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