目的 评估高位脊髓损伤术后合并呼吸衰竭患者使用振动排痰仪的疗效。比较常规气道吸痰护理及给予常规气道吸痰护理的基础上每天使用振动排痰仪辅助排痰2次后的预后有无差异；方法 将长征医院急救科ICU2013年1月—2014年1月收治的54例外伤致C3～C7高位脊髓损伤术后合并呼吸衰竭患者分成两组，其中对照组28例高位脊髓损伤术后并发呼吸衰竭给予常规气道吸痰护理，实验组26例高位脊髓损伤术后患者并发呼吸衰竭给予常规气道吸痰护理的基础上每天使用振动排痰仪辅助排痰2次。比较实验组患者及对照组患者的PaO2/FiO2、PCO2、PH、Ppeak比较。结果 实验组患者于治疗后氧合指数明显回升，肺部感染控制满意，脱机成功率较对照组明显增高。结论 振动排痰仪对高位脊髓损伤术后患者并发呼吸衰竭的患者辅助排痰效果明显，且安全可行，为解决高位脊髓损伤术后患者排痰困难及脱机困难提供了一个较好的方法。Object: To evaluate the curative effect of vibration expectoration instrument in traumatic spinal cord injury patients with respiratory failure. Method: Patients with postoperative spinal cord injury patients in combination with respiratory failure in Shanghai Changzheng Hosiptal ICU from 2013-01 to 2014-01 were selected and randomly divided into 2 groups. Control group: 28 cases were treated with conventional airway suctioning care; experimental group: 26 cases were treated with vibration expectoration 2 times a day besides conventional airway suctioning care. Compared the PaO2/FiO2, PaCO2, PH, Ppeak between the experimental group and control group, and made statistical analysis. Results: Patients in the experimental group had higher oxygenation index, reduced lung infection incidence, and less ventilator dependence. Conclusion: vibration expectoration instrument is safe and feasible for patients with spinal cord injury patients combined with respiratory failure, providing physicians a better way to promote expectoration and ventilator dependence
