氣道痰液清除訓練應用於一位慢性氣喘患者的衛教經驗

Education Experience on Airway Secretion Clearance Training in a Patient with Chronic Asthma

楊寶惠(Pao-Hui Yang) ； 王玲玲(Ling-Ling Chiang) ； 余志騰(Chih-Teng Yu)

《呼吸治療》 1卷1期 (2002/01) Pp. 68-73

https://doi.org/10.6269/JRT.2002.1.1.09

摘要

痰液積聚在小氣道是慢性氣喘患者在適當藥物治療後常存在的問題，也是患者感到呼吸困難及減少活動的原因之一。本文是在尖峰呼氣流速自我監測的衛教後，給予個案呼吸再訓練及自發性引流練習，並且教導個案執行自發性引流時同時併用呼氣正壓輔助器。追蹤二個月後，個案因為氣喘發作到急診就醫次數及夜間咳嗽頻率減少，氣道流量、穩定度及運動耐力、運動中血氧濃度都明顯增加。（呼吸治療2002;1(1):68～73）

關鍵字

慢性氣喘 ； 氣道痰液清除 ； 衛教

並列摘要

Mucus retention in small airway in chronic asthmatic patients is a common problem after appropriate the patient having received medical treatment. This is also one of the factors which lead to dyspnea and exercise intolerance. In addition to peak flow self-management course, this patient received a teaching program which was reinforced with breathing retraining and autogenic drainage. The positive expiratory pressure tube was also incorporated with autogenic drainage. After two months follow-up, the frequency of emergency room attending and night cough were decreased. Furthermore, the expiratory flow rate, the stability of airway, exercise tolerance, and oxygenation during exercise significantly increased.

並列關鍵字

chronic asthma ； airway secretion clearance ； patient education