|
|
|
| Meta analysis of the intervention effect of vibration expectoration nursing on elderly patients with chronic obstructive pulmonary disease#br# |
| CAO Jingdi WANG Yanxia XIA Wenlan |
| Department of Geriatric Respiratory Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China |
|
|
|
Abstract Objective To systematically evaluate the intervention effect of vibration expectoration nursing on elderly chronic obstructive pulmonary disease (COPD) by meta method. Methods Randomized controlled trials of vibration expectoration and artificial backbuckling expectoration in the care of elderly COPD were collected by searching CNKI.com, Wanfang Data, VIP, China Biomedical Literature Database and PubMed. The search period was from self-built database to July 2021. Meta-analysis was performed by RevMan 5.3 software. Results A total of nine literatures were included. The results of meta-analysis showed that vibration sputum excretion nursing was significantly higher than manual sputum excretion nursing in improving 24-hour sputum excretion (WMD = 8.87, 95%CI [5.62,12.12], P ＜ 0.000 01), arterial oxygen partial pressure (WMD = 11.56, 95%CI [6.60,16.52], P ＜ 0.000 01) and hospital stay [WMD = -6.10, 95%CI (-10.65, -1.54), P = 0.009] was shorter than manual sputum excretion nursing. Conclusion The intervention effect of vibration sputum drainage nursing on elderly patients with COPD is better than that of artificial back buckle sputum drainage nursing, which has clinical popularization value.
|
|
|
|
|
|
[1] Huang J，Bian Y，Zhao Y，et al. The Impact of Depression and Anxiety on Chronic Obstructive Pulmonary Disease Acute Exacerbations：A prospective cohort study [J]. J Affect Disord，2021，281（1）：147-152.
[2] Messous S，Elargoubi A，Pillet S，et al. Bacterial and Viral Infection in Patients Hospitalized for Acute Exacerbation of Chronic Obstructive Pulmonary Disease：Implication for Anti-microbial Management and Clinical Outcome [J]. COPD，2021，18（1）：53-61.
[3] Barnes PJ. Targeting cellular senescence as a new approach to chronic obstructive pulmonary disease therapy [J]. Curr Opin Pharmacol，2021，56（1）：68-73.
[4] Hiemstra PS，Grootaers G，van der Does AM，et al. Human lung epithelial cell cultures for analysis of inhaled toxicants：lessons learned and future directions [J]. Toxicol In Vitro，2018，47（1）：137-146.
[5] James SL，Abate D，Abate KH，et al. Global regional and national incidence prevalence and years lived with disability for 354 diseases and injuries for 195 countries and territories 1990-2017：a systematic analysis for the Global Burden of Disease Study 2017 [J]. Lancet，2018，392（10159）：1789-1858.
[6] Wang C，Xu J，Yang L，et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China （the China Pulmonary Health [CPH] study）：a national cross-sectional study[J]. Lancet，2018，391（10131）：1706-1717.
[7] Jones B，Donovan C，Liu G，et al. Animal models of COPD：what do they tell us? [J]. Respirology，2017，22（1）：21-32.
[8] Pauwels NS，Bracke KR，Dupont LL，et al. Role of IL-1α and the Nlrp3/caspase-1/IL-1β axis in cigarette smoke-induced pulmonary inflammation and COPD [J]. Eur Respir J，2011，38（5）：1019-1028.
[9] 于美玲，邢杰.机械振动排痰联合缩唇呼吸训练在矽肺合并慢性阻塞性肺疾病老年患者中的应用[J].国际老年医学杂志，2019，40（1）：25-28.
[10] 中华医学会，中华医学会杂志社，中华医学会全科医学分会，等.慢性阻塞性肺疾病基层诊疗指南（2018年）[J].中华全科医师杂志，2018，17（11）：856-870.
[11] 文永康.振动排痰机配合雾化吸入治疗慢性阻塞性肺气肿的疗效分析[J].按摩与康复医学，2018，9（15）：41-42.
[12] Li XX，Zheng Y，Chen YL，et al. The reporting characteristics and methodologyical quality of Cochrane reviews about health policy research [J]. Health Policy，2015，119（4）：503-510.
[13] 张琦婉，吴林柯.精细化护理干预在无创正压通气治疗慢性阻塞性肺疾病急性加重期合并呼吸衰竭中的效果观察[J].安徽医药，2018，22（3）：573-576.
[14] 刘卫庭，姚宇.早期肺康复对慢性阻塞性肺疾病急性加重期患者肺功能及运动耐力的影响[J].中华物理医学与康复杂志，2019，41（3）：213-216.
[15] Moher D，Cook DJ，Eastwood S，et al. Improving the quality of reports of meta-analyses of randomised controlled trials：the QUOROM statement. Quality of Reporting of Meta-analyses [J]. Lancet，1999，354（9193）：1896-1900.
[16] 万红.循经取穴振动排痰用于慢性阻塞性肺疾病急性加重期痰液引流效果观察[J].护理实践与研究，2019，16（23）：61-63.
[17] 康芳.振动排痰机联合预见性护理在慢性阻塞性肺疾病急性加重期患者无创机械通气治疗中的应用[J].中华灾害救援医学，2020，8（8）：457-459.
[18] 李雪辉.氧驱雾化吸入联合振动排痰治疗慢性阻塞性肺疾病患者的疗效观察[J].中国慢性病预防与控制，2017，25（3）：201-203.
[19] 黄展芬，于海建.振动排痰仪对慢性阻塞性肺疾病合并呼吸衰竭患者治疗效果观察[J].慢性病学杂志，2017， 18（10）：1145-1146.
[20] 范玉玲.慢性阻塞性肺疾病患者施行振动排痰护理的可行性研究[J].中国现代药物应用，2019，13（8）：188-189.
[21] 朱燕生，胡马洪，季春莲.白芥子穴位贴敷联合机械振动对慢性阻塞性肺疾病机械通气患者排痰作用观察[J].浙江中医杂志，2019，54（3）：208.
[22] 蒋燕红，卢月飞，王建华，等.无创辅助通气联合机械振动排痰及药物治疗COPD急性加重期Ⅱ期呼吸衰竭的临床观察[J].中国药房，2015，26（17）：2399-2401.
[23] 陈畏兵，马红梅.G5体外振动排痰仪辅助老年慢性阻塞性肺疾病合并肺部感染患者排痰的最佳单次治疗时间[J].中国医药导报，2016，13（5）：137-140.
[24] 刘雨村，丁敏，何海燕，等.体外振动排痰机在 COPD 患者中应用的效果观察[J].重庆医科大学学报，2008，33（4）：500-502.
[25] 杜沂岚，唐敏，陈朝晖，等.经肺腧穴中药离子导入联合振动排痰治疗慢性阻塞性肺疾病急性加重期临床疗效[J].陕西中医，2020，41（4）：534-537. |
|
|
|
