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目的 :讨论肺结核患者祛痰治疗中应用氧气驱动雾化吸入与超声雾化吸入盐酸氨溴索的对比效果。方法 :将我科2016年1月~2016年6月需要雾化吸入祛痰的患者80例,随机分为氧气雾化吸入组和超声雾化吸入组,每组各40例,在抗结核治疗的基础上使用盐酸氨溴索做雾化吸入,每日2次,雾化吸入后帮助患者有效排痰,10天为一个疗程,比较两组疗效及对患者的影响。结果 :两种方法对结核病患者祛痰都有效,治疗效果相似(P>0.05);在治疗过程中超声组引起血氧饱和度下降,氧气组可使血氧饱和度上升,氧气组优于超声组(P<0.01);而呼吸系统不良反应氧气组较超声组小(P<0.05),患者更易耐受。结论 :应用两种雾化吸入方式对祛痰都有一定效果,其中氧气驱动雾化吸入对患者的血氧饱和度有明显的提升作用,并且引起的不良反应较少。
OBJECTIVE: To investigate the contrast effect of inhalation of ambroxol hydrochloride by oxygen-driven atomization inhalation and ultrasonic atomization inhalation in patients with expectorant treatment of pulmonary tuberculosis. Methods: From January 2016 to June 2016, 80 patients who needed inhalation of expectorant were randomly divided into oxygen aerosol inhalation group and ultrasonic atomization inhalation group, 40 cases in each group. After anti-TB treatment Based on the use of ambroxol hydrochloride atomized inhalation, 2 times a day, after inhalation to help patients effectively phlegm, 10 days for a course of treatment, the two groups were compared efficacy and impact on patients. Results: The two methods were effective for expectorant removal in patients with tuberculosis, and the treatment effect was similar (P> 0.05). In the course of treatment, the oxygen saturation in the ultrasound group decreased and the oxygen saturation increased in the oxygen group, which was better than that in the ultrasound group Group (P <0.01). However, adverse reactions of respiratory system oxygen group was smaller than that of ultrasound group (P <0.05), patients were more tolerable. Conclusion: Both of the two inhalation methods have some effects on expectorant. Oxygen-driven atomization inhalation can significantly improve the oxygen saturation of patients and cause fewer adverse reactions.