G5排痰仪联合盐酸氨溴索雾化吸入在老年COPD患者排痰护理中的应用

目的：研究G5振动排痰仪联合盐酸氨溴索雾化吸入对老年慢性阻塞性肺疾病（COPD）患者排痰的临床效果。方法：将60岁以上COPD患者120例随机分为3组,各40例;A组采用G5振动排痰仪治疗,频率15～30 Hz,每次15 min,3次/d,24 h评估1次疗效;B组采用盐酸氨溴索30 mg用生理盐水20 mL稀释后,加入德国百瑞雾化吸入器内吸入,雾化时间为20 min,3次/d,5 d为一疗程。C组采用盐酸氨溴索雾化联合振动排痰仪治疗,雾化后间隔30 min,用G5振动排痰仪治疗3次/d。结果：C组排痰量与A组、B组患者比较差异有统计学意义（P〈0.05）,A组患者排痰量与B组比较差异无统计学意义（P〉0.05）。结论：G5振动排痰仪联合盐酸氨溴索雾化吸入对老年COPD患者排痰效果明显,值得临床推广。

G5 Expectoration Instrument Combined Atomization Inhalation of Ambroxol Hydrochloride in Sputum in Nursing Elderly COPD Patients

Objective ： To study the G5 of vibration sputum elimination apparatus in combination with ambroxol hydrochloride inhalation on the sputum in elderly COPD patients clinical effect. Methods ： 120 cases of COPD patients over the age of 60 were randomly divided into 3 groups, 40 cases in A group, the G5 of vibration sputum elimination apparatus in the treatment of choice for each frequency, 15 -30 HZ, 15 min, 3 times a day, 24 h evaluate a curative effect. 40 cases in group B, using ambroxol at- omization inhalation treatment, the hydrochloric ambroxol 30 mg with 20 mL of normal saline into the German Swiss nebulizer in- halation, aerosol time of 20 min, 3 times a day, 5 day as a course of treatment. In group C with ambroxol hydroehloride com- bined with vibration sputum elimination apparatus in the treatment of, atomization of the interval 30 min after using G5 vibration sputum elimination apparatus in the treatment of 3 times a day. Results ： In C group and A group and B group of patients with sputum amount had significant difference （ P 〈 0.05 ）. A group and B group of patients with sputum volume to compare differ- ence not to have statistical significance. Conclusion： G5 sputum ejection apparatus combined with ambroxol atomization inhalation on the old COPD expectoration effect is obvious, and treatment of elderly patients with COPD preference.