根据支气管解剖位置叩击排痰对呼吸内科患者肺部感染的预防价值

发布时间：2018-08-08 19:04

【摘要】：目的探讨叩击支气管解剖位置进行排痰对预防住院呼吸内科患者肺部感染的效果及应用价值。方法选取2014年4月-2016年6月于医院治疗的124例住院呼吸内科排痰困难患者,按照随机表法将研究对象分为观察组和对照组,每组62例,对照组患者进行传统叩背排痰法,观察组患者使用支气管解剖位置叩击排痰法,在排痰完后对患者进行吸痰处理,记录两组患者前5天的排痰量,比较两组患者排痰的有效率及比较两组患者吸痰后血气指标的变化情况。结果对照组与观察组患者前5天排痰量差异有统计学意义(P0.05);对照组患者排痰有效43例,有效率69.4%,观察组患者排痰有效56例,有效率90.3%,两组患者差异有统计学意义(P0.05);对照组与观察组患者吸痰前血气指标差异无统计学意义,两组患者吸痰后差异有统计学意义(P0.05);对照组患者肺部感染情况:铜绿假单胞菌感染5例(8.1%)、肺炎克雷伯菌3例(4.8%)、白念珠菌4例(6.5%)、曲霉菌属3例(4.8%),总肺部感染例数15例(24.2%),观察组患者肺部感染情况:铜绿假单胞菌2例(3.3%)、肺炎克雷伯菌1例(1.6%)、白念珠菌1例(1.6%),总肺部感染例数4例(6.5%),两组患者肺部感染差异有统计学意义(P0.05)。结论根据支气管解剖位置叩击排痰比传统叩击排痰法更有效果,排痰的有效率更高,有利于患者恢复,能够有效预防住院呼吸内科患者肺部感染。
[Abstract]:Objective to explore the effect and application value of sputum removal from percussion bronchus in preventing pulmonary infection of inpatients with respiratory medicine. Methods 124 patients with difficulty in sputum drainage from April 2014 to June 2016 were divided into observation group (n = 62) and control group (n = 62). The patients in the observation group were treated with sputum aspiration after sputum drainage by percussion at the anatomic position of the bronchus, and the amount of sputum excretion in the first 5 days of the two groups was recorded. To compare the effective rate of sputum excretion and the changes of blood gas index after sputum aspiration in the two groups. Results there was a significant difference in the amount of sputum excretion between the control group and the observation group in the first 5 days (P0.05), the effective rate of sputum drainage was 69.4 in 43 patients in the control group, and 56 patients in the observation group. The effective rate was 90.3%, the difference between the two groups was statistically significant (P0.05), there was no significant difference in blood gas index between the control group and the observation group before sputum aspiration. There was significant difference between the two groups after sputum aspiration (P0.05), the pulmonary infection in the control group was: Pseudomonas aeruginosa infection in 5 cases (8.1%), Klebsiella pneumoniae in 3 cases (4.8%), Candida albicans in 4 cases (6.5%), Aspergillus in 3 cases (4.8%), total pulmonary infection in 15 cases. There were 2 cases of Pseudomonas aeruginosa (3.3%), 1 case of Klebsiella pneumoniae (1.6%), 1 case of Candida albicans (1.6%) and 4 cases (6.5%) of total pulmonary infection. Conclusion according to the anatomical position of the bronchus, percussion is more effective than the traditional percussion method, and the effective rate of sputum drainage is higher, which is beneficial to the recovery of the patients and can effectively prevent the pulmonary infection of the patients in the department of respiratory medicine.
【作者单位】：淄博市第一医院病案管理科;
【分类号】：R563.1

【相似文献】