咳嗽训练促进颈脊髓损伤伴不全瘫患者排痰

【 abstract 】 objective To explore the effects of cough training on intercostals muscles strength and sputum excretion ability in acute cervical spinal cord injury patients with incomplete paralysis. Methods 127 acute cervical spinal cord injury with incomplete paralysis cases treated in changzheng hospital from January 2012 to December 2015 were admitted into study. They had been divided into experimental group and control group randomly by the method of throwing a coin.Experimental group started cough training from 1 d postoperative and the control group only treated by routine sputum nursing measures.The effect of sputum excretion ability, intercostals muscles strength and the rate of sputum suction,lung infection and atelectasis had been compared 8 days after surgery.Results The sputum excretion ability and intercostals muscles strength of the experimental group were significantly better than the control group 8 days after surgery.The rate of sputum suction,lung infection and atelectasis in experimental group was significantly lower than the control group.There were no complications of early cervical fixation turning up in both groups.Conclusion The cough training can strengthen intercostals muscles of CSCI patients with incomplete paralysis, promote their sputum excretion ability .Futhermore ,It can reduce the rate of sputum suction and the incidence of respiratory complications such as lung infection, atelectasis.

Cough Training Promotes Sputum Excretion Ability In Cervical Spinal Cord Injury Patients With Incomplete Paralysis