| Effect of balloon expanded lung combined with manual chest vibration technique in tracheotomy patients with severe neurological problems |
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| DOI： |
| EN KeyWords: Balloon expanded lung Chest vibration Severe neurological problems Tracheotomy |
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| EN Abstract: |
| Objective: To evaluate the effect of balloon expanded lung combined with manual chest vibration technique on tracheotomy patients with severe neurological problems. Method: Fifty seven tracheotomy patients with severe neurological problems were randomly divided into observation group and control group (28 in control group, and 29 in observation group). Patients in control group were treated by conventional airway care technology. The observation group was treated by balloon expanded lung combined with manual chest vibration technique in addition to conventional airway care. All patients were treated for 2 weeks. After treatment, the amount of single sputum production and the total amount of sputum production every week were compared between groups. Changes in pulmonary oxygenation index and clinical pulmonary infection score (CPIS) were also compared after 2 weeks of treatment between two groups. Results: The amount of single sputum production in the observation group was significantly greater than that in the control group (P<0.05). At the end of the first week, there was no statistically significant difference in the amount of sputum production between the two groups (P>0.05). However, after treatment for 2 weeks, the total amount of sputum production had statistically significant difference from that at the end of the first week treatment in both two groups (P<0.05), and significantly increased in observation group as compared with that in control group (P<0.05). After treatment for 2 weeks,the scores of oxygenation index and CPSI had statistically significant difference from those before treatment in both two groups (all P<0.05), and significantly increased in observation group as compared with those in control group (P<0.05). No adverse reactions occurred in the two groups during the treatment period. Conclusion: Balloon expanded lung combined with manual chest vibration technique can effectively improve the sputum removal on tracheotomy patients with severe neurological problems and increase the lung relation functions, which is worth to clinically promote. |
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