老年脑出血患者肺部感染物理治疗的疗效探讨

发布时间：2018-06-12 00:53

本文选题：老年脑出血患者 + 肺部物理治疗　；参考：《中华医院感染学杂志》2015年12期

【摘要】：目的探讨老年脑出血患者肺部感染物理治疗的影响及相关安全性,为临床治疗提供参考。方法选择2010-2013年收治的133例老年脑出血患者为研究对象,随机分为对照组66例、观察组67例,对照组行常规性手术治疗,观察组在对照组基础上采取肺部物理治疗,对比两组患者治疗期间每日排痰量、血氧饱和度(SaO2)、住院时间及肺部感染率。结果经治疗后,观察组患者肺部感染率及住院时间分别为2.99%、(12.80±2.10)d,显著低于对照组的19.70%、(22.60±2.50)d,差异均有统计学意义(P0.05);观察组患者每天排痰量(19.00±1.20)ml及SaO2(5.20±1.20)%,显著高于对照组的(12.11±0.90)ml及(2.30±0.10)%,差异均有统计学意义(P0.05);观察组患者治疗优良率为94.03%,显著高于对照组的68.18%,差异有统计学意义(P0.05)。结论对老年脑出血患者进行肺部物理治疗,疗效显著,可降低患者肺部感染率、减少住院时间,且安全性较高,值得临床广泛推广使用。
[Abstract]:Objective to investigate the effect and safety of physical therapy on pulmonary infection in elderly patients with intracerebral hemorrhage. Methods 133 elderly patients with intracerebral hemorrhage from 2010 to 2013 were randomly divided into control group (n = 66) and control group (n = 67). The amount of sputum excretion, oxygen saturation, duration of hospitalization and pulmonary infection rate were compared between the two groups. Results after treatment, The pulmonary infection rate and hospitalization time of the observation group were 12.80 卤2.10 days, which were significantly lower than that of the control group (19.70 卤2.50 d, P < 0.05), and the amount of sputum excretion per day was 19.00 卤1.20)ml and 5.20 卤1.20 in the observation group, which was significantly higher than that in the control group (12.11 卤0.90)ml and 2.30 卤0.10). The excellent and good rate of treatment in the observation group was 94.03, which was significantly higher than that in the control group (68.18%), and the difference was statistically significant (P 0.05). Conclusion Pulmonary physical therapy for elderly patients with intracerebral hemorrhage is effective, which can reduce the pulmonary infection rate and hospital stay, and is safe and worthy of extensive clinical application.
【作者单位】：湖北民族学院附属民大医院神经外科;
【基金】：湖北省教育厅科学研究基金资助项目(SZ2012-17)
【分类号】：R743.34;R563.1

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