摘要
目的探讨改良体位痰液引流治疗心胸外科术后肺部感染的效果.方法选取2016年3月-2017年7月内蒙古医科大学附属医院收治的外科术后肺部感染患者108例为研究对象,随机分为研究组(n=54)和对照组(n=54).研究组进行改良体位痰引流及常规治疗方法,对照组使用常规体位引流及常规治疗方法.比较两组患者治疗前后动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)、痰培养阳性率、每日脱氧时间、每日痰液量、抗菌药物的使用时间、肺部感染灶缩小例数的差异.结果治疗前两组患者各指标阳性率差异无统计学意义.治疗后研究组患者PaCO2、PaO2、痰液量、脱氧时间及痰培养阳性率分别为(91.20±7.18)mmHg、(35.29±3.17)mmHg、(212.23±25.35)ml/d、(15.66±2.33)min/d、16.67%(9/54),与对照组比较差异有统计学意义(P<0.05);研究组抗菌药物使用时间为(11.41±1.25)d,与对照组比较差异有统计学意义(P<0.05),肺部感染灶缩小例数比率96.29%(52/54)高于对照组(P<0.05);研究组治疗效果优于对照组(P<0.05).结论改良后的体位痰引流治疗方法术可增加术后肺感染患者的肺通气量及改善肺部功能,治疗效果优于常规体位痰引流法,具有一定的临床价值.
OBJECTIVE To explore the effect of modified body position sputum drainage on treatment of cardiothoracic surgery patients with postoperative pulmonary infection. METHODS From Mar 2016 to Jul 2017, a total of 108 patients who received surgery and had postoperative pulmonary infection were recruited as the study objects and randomly divided into the study group with 54 cases and the control group with 54 case. The study group was given modified body position sputum drainage and conventional therapy, while the control group was treated with routine body position drainage and conventional therapy. The partial pressure of arterial carbon dioxide(PaCO2), partial pressure of arterial oxygen(PaO2), positive rate of sputum culture, daily deoxygenation time, daily sputum volume, time of use of antibiotics and number of cases with shrink of pulmonary infection lesions were observed and compared between the two groups of patients before and after the treatment. RESULTS There were no significant differences in the positive rates of the indexes between the two groups of patients before the treatment. The PaCO2, PaO2, sputum volume, deoxygenation time and positive rate of sputm culture of the study group were respectively(91.20±7.18)mmHg,(35.29±3.17)mmHg,(212.23±25.35)ml/d,(15.66±2.33)min/d and 16.67%(9/54) after the treatment, as compared with the control group, there were significant differences(P<0.05). The time of use of antibiotics of the study group was(11.41±1.25)d, as compared with the control group, there was significant difference(P<0.05). The percentage of the patients with shrink of pulmonary infection lesions of the study group was 96.29%(52/54),significantly higher than that of the control group(P<0.05). The curative effect of the study group was significantly better than that of the control group(P<0.05). CONCLUSION The modified body position sputum drainage can increase the pulmonary ventilation volume and improve the lung function of the patients with postoperative pulmonary infection, and it can achieve better curative effect than the conventional body position sputum drainage.
作者
孙嘉阳
郭占林
SUN Jia-yang;GUO Zhan-lin(The Affiliated Hospital of Inner Mongolia Medical University,Huhot,Inner Mongolia 010059,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2020年第5期717-720,共4页
Chinese Journal of Nosocomiology
基金
内蒙古自治区自然科学基金资助项目(2018825)。
关键词
改良体位痰液引流
术后肺部感染
肺通气功能
疗效
Modified body position sputum drainage
Postoperative pulmonary infection
Pulmonary ventilation function
Curative effect
作者简介
通讯作者:郭占林,E-mail:wuj0980@163.com。
