【摘要】 目的探讨高频胸壁震荡理疗在老年重症肺炎患者中应用效果及记录要点。方法选取2019年5月1日-2020年5月31日老年重症肺炎患者120例,随机分为2组,2组患者均接受常规治疗,对照组采用普通震动排痰机治疗,研究组采用高频胸壁振荡理疗治疗。比较2组肺功能、不同时点排痰量、症状缓解时间、临床效果。结果治疗后,研究组最大用力呼气峰流量为(3.3±0.3)升/分钟、1秒用力呼气容积为(1.7±0.1)升、用力肺活量为(1.8±0.1)升指标均低于对照组(4.6±0.4升/分钟、2.3±0.3L、2.8±0.4L),P<0.05;研究组治疗1天排痰量为(59.1±11.3)毫升、治疗2天排痰量为(60.2±13.6)毫升、治疗3天排痰量为(55.0±10.8)毫升均高于对照组(45.5±9.3毫升、45.8±8.8毫升、43.6±8.3毫升),P<0.05;研究组治疗后肺部啰音消失时间(5.5±0.8)天、心衰改善时间(1.5±0.3)天、咳嗽缓解时间(2.7±0.7)天、气促改善时间(1.4±0.3)天、退热时间(1.9±0.4)天均低于对照组(11.4±2.7、3.5±0.8、7.2±1.7、5.5±0.8、6.2±0.4)天,P<0.05;研究组有效率为92.9%高于对照组的64.3%,P<0.05。结论将高频胸壁震荡理疗机应用在老年重症肺炎患者治疗中,可提升患者肺功能,有效促进痰液排出,明显缩短患者临床症状缓解时间,提升临床效果,促进患者早日康复,值得临床推广。更多还原

【Abstract】 Objective To explore the application effect and key points of record of high-frequency chest wall shock therapy in senile patients with severe pneumonia. Methods A total of 120 elderly patients with severe pneumonia from May 1 st, 2019 to May 31 st, 2020 were randomly divided into two groups. Patients in both groups were treated with conventional Western medicine. The control group was treated with ordinary vibrating sputum extractor, and the research group was treated with high-frequency chest wall oscillation physiotherapy. Lung function, sputum volume at different time points, symptom remission time and clinical effect were compared between the two groups. Results After treatment, the indices of maximum forced expiratory flow(3.3±0.3) L/s, forced expiratory volume(1.7±0.1) L in 1 second and forced vital capacity(1.8±0.1) L in the study group were lower than those in the control group(4.6±0.4 L/s, 2.3±0.3 L, 2.8±0.4 L), P<0.05. The sputum output of the study group(59.1±11.3) ml after 1 day of treatment,(60.2±13.6) ml after 2 days of treatment and(55.0±10.8) ml after 3 days of treatment were all higher than those of the control group(45.5±9.3 ml, 45.8±8.8 ml, 43.6±8.3 ml), P<0.05. After treatment, the time of lung rales disappearance, heart failure improvement, cough remission, shortness of breath improvement and fever abatement in the study group were all lower than those in the control group(11.4±2.7 and 3.5±0.8 days) 7.2±1.7, 5.5±0.8, 6.2±0.4) days, P<0.05; The effective rate of the study group was 92.9% higher than that of the control group(64.3%), P<0.05. Conclusions The application of high-frequency chest wall shock physiotherapy machine in the treatment of elderly patients with severe pneumonia could improve the lung function of patients, effectively promote sputum discharge, significantly shorten the time for patients to relieve clinical symptoms, improve the clinical effect, and promote the early recovery of patients, which is worthy of clinical promotion.更多还原