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目的:探讨老年中重度支气管哮喘患者应用雾化吸入联合振动排痰机的排痰效果。方法:以2014年5月至2015年12月遵义医学院第五附属医院呼吸科住院的老年中重度支气管哮喘患者76例为研究对象,在常规基础治疗基础上,采用氧气驱动雾化吸入布地奈德和沙丁胺醇后应用振动排痰机排痰,观察其排痰效果。结果:76例患者经雾化吸入联合振动排痰后,痰液较易咳出,喘息时间缩短,72小时后听诊肺部啰音减少。结论 :氧气驱动雾化吸入联合振动排痰方案的辅助排痰效果明显,可减少气道内黏液栓的形成,改善病人的喘憋症状,缩短住院时间,建议临床推广应用。
Objective: To investigate the expectoration effect of combined use of inhalation and vibration in patients with moderate and severe bronchial asthma. Methods: From May 2014 to December 2015, 76 elderly patients with moderate or severe bronchial asthma hospitalized in the Respiratory Department of the Fifth Affiliated Hospital of Zunyi Medical College were enrolled in this study. Oxygen was used to drive inhalation of budesonide on the basis of routine basic treatment. Germany and salbutamol after the application of vibrating sputum sputum expectoration, to observe the expectorant effect. Results: After the inhalation combined with vibration and expectoration, 76 patients were more likely to cough and expectoration time shortened, and after 72 hours auscultation of the lung rales decreased. CONCLUSION: Oxygen-driven aerosol inhalation combined with vibroischemic phlegm has the obvious effect of expelling sputum, which can reduce the formation of mucus plug in the airway, improve the symptoms of wheezing and shorten the length of hospital stay, and is recommended for clinical application.