天津护理2025，Vol.33Issue(6)：647-650,4.DOI:10.3969/j.issn.1006-9143.2025.06.004
精准定位振动排痰在慢性阻塞性肺疾病急性加重患者气道廓清中的应用
The application of precise positioning vibration expectoration in airway clearance of patients with acute exacerbation of chronic obstructive pulmonary disease
摘要
Abstract
Objective:To explore the effect of vibration expectoration guided by electrical impedance tomography(EIT)on airway clearance in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:A total of 80 AECOPD patients admitted to the ICU of a grade A tertiary hospital in Tianjin were included and randomly divided into an observation group(n=40)and a control group(n=40).The control group received routine care,while the observation group received EIT-guided vibration expectoration in addition.Sputum drainage volume,oxygenation indices,serum hs-CRP,clinical pulmonary infection score(CPIS),and regional ventilation distribution(ROI 1～ROI 4)were compared between the two groups.Results:The observation group showed significantly higher sputum drainage volume,oxygenation index,and ROI 1～ROI 4 values,and significantly lower arterial partial pressure of carbon dioxide,CPIS,and hs-CRP than the control group(P＜0.05).Conclusion:EIT-guided vibration expectoration can enhance sputum drainage,promote airway clearance,and facilitate pulmonary rehabilitation in AECOPD patients.关键词
精准定位/振动排痰/慢性阻塞性肺疾病急性加重/电阻抗断层成像技术/气道廓清Key words
Precise positioning/Vibration expectoration/Acute exacerbation of chronic obstructive pulmonary disease/EIT/Airway clearance分类
医药卫生引用本文复制引用
马富荣,司梅梅,朱艳飞..精准定位振动排痰在慢性阻塞性肺疾病急性加重患者气道廓清中的应用[J].天津护理,2025,33(6):647-650,4.基金项目
天津市医学重点学科建设项目(TJYXZDXK-013A) （TJYXZDXK-013A）
