改良式体位引流在消化外科肺部感染患者中的应用研究

发布时间：2018-03-11 22:23

本文选题：消化外科　切入点：改良式体位引流　出处：《中华医院感染学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨改良式体位引流在消化外科肺部感染患者中的应用效果,为临床护理提供参考依据。方法将2013年5月-2015年5月医院消化外科92例肺部感染患者按随机数字表法分为对照组46例和研究组46例,对照组患者给予常规治疗和护理,研究组患者在对照组基础上采用改良式体位引流,比较两组患者治疗时间、恢复状况及肺部感染各项指标的差异,数据采用SPSS17.0软件进行统计分析。结果患者治疗10d后,研究组白细胞计数及C-反应蛋白恢复天数、发热天数均较对照组明显减少,差异有统计学意义(P0.01);研究组患者发生肺不张4例,发生率为8.7%;对照组患者发生肺不张17例,发生率为37.0%;研究组患者肺不张发生率低于对照组,差异有统计学意义(P0.01);研究组患者疗效显著高于对照组,差异有统计学意义(P0.01)。结论改良式体位引流可以促进消化外科肺部感染患者恢复,疗效优于传统的体位引流,值得临床推广。
[Abstract]:Objective to investigate the effect of modified postural drainage in patients with pulmonary infection in digestive surgery. Methods from May 2013 to May 2015, 92 patients with pulmonary infection were randomly divided into control group (46 cases) and study group (46 cases). The patients in the study group were treated with modified postural drainage on the basis of the control group. The treatment time, recovery status and pulmonary infection were compared between the two groups. The data were statistically analyzed by SPSS17.0 software. The number of white blood cells, the days of recovery of C-reactive protein and the days of fever in the study group were significantly reduced than those in the control group, the difference was statistically significant (P 0.01), the patients in the study group had atelectasis in 4 cases (8.7%), and the patients in the control group had 17 cases of atelectasis. The incidence of atelectasis in the study group was lower than that in the control group, the difference was statistically significant (P 0.01), and the curative effect in the study group was significantly higher than that in the control group. Conclusion modified postural drainage can promote the recovery of pulmonary infection in digestive surgery, and the curative effect is better than that of traditional postural drainage, which is worth popularizing in clinic.
【作者单位】：农垦那大医院外三科;
【基金】：海南省自然科学基金资助项目(30715)
【分类号】：R656;R563.1

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