关键词: 人工膨肺, 腹部挤压, 颈髓损伤, 气管切开, 肺康复, 护理

Abstract:

Objective To explore the effects of pulmonary rehabilitation technique combined with manual hyperinflation on patients with cervical spinal cord injury after tracheotomy. Methods From January 2017 to September 2019,66 patients with cervical spinal cord injury after tracheotomy were enrolled in this study. They were randomly allocated to an experimental group with 33 cases and a control group with 33 cases according to the block random number table generated by SPSS. In the experimental group,manual hyperinflation technique was added on the basis of routine lung rehabilitation nursing care,such as aerosol inhalation,vibration sputum expectoration,and sputum suction after abdominal compression. In the control group,routine lung rehabilitation nursing care was adopted. Before and after the intervention for 4 weeks,vital capacity（FVC）,forced expiratory volume in a second（FEV1）,maximum expiratory volume（PEF） were examined using spirometer and the incidence of atelectasis was calculated in both groups. Results After 4 weeks of interventions,FVC（4.17±0.70） L,FEV₁（3.86±0.94） L,PEF（266.67±36.70） L in the experimental group were significantly higher than these in the control group with FVC（3.06±0.73） L,FEV₁（2.91±0.72） L,PEF（221.73±19.53） L（P<0.05）,and the incidence of pulmonary atelectasis in the experimental group（3.03%）was lower than that in the control group（24.24%）（P<0.05）. Conclusion In patients with cervical spinal cord injury after tracheotomy,the application of manual hyperinflation technique can effectively improve the pulmonary function,increase the lung compliance of patients,reduce the occurrence of atelectasis and pulmonary collapse,and significantly improve the effects of pulmonary rehabilitation.

Key words: Pulmonary Rehabilitation, Nursing Care, Manual Hyperinflation, Abdominal Extrusion, Cervical Spinal Cord Injury, Tracheotomy, Pulmonary Rehabilitation, Nursing Care