脑出血患者肺部感染早期物理治疗的临床研究

发布时间：2018-11-05 20:19

【摘要】：目的探讨高龄脑出血患者早期肺部物理治疗降低肺部感染的临床疗效,为临床诊断治疗提供依据。方法选取2012年8月-2013年8月86例接受诊治的高龄脑出血患者,按照随机数字表法将其分为对照组与观察组,每组各43例;对照组在住院后1d开始吸痰、雾化吸入等常规治疗同时应用震动排痰器振肺后指导患者咳痰的肺部物理治疗方法,观察组在住院后2h开始进行肺部物理治疗,1d后进行肺部常规治疗;观察两组患者肺部感染率、病原体分布,治疗前后血氧饱和度、血压、住院天数及1、3d日均排痰量与有效排痰率;采用SPSS17.0软件对数据进行统计分析。结果 86例高龄脑出血患者发生肺部感染17例,感染率19.77%,其中观察组9.30%,对照组30.23%,两组肺部感染率差异有统计学意义(P0.05);共检出病原体26株,其中细菌20株占76.92%、病毒2株占7.69%、衣原体属4株占15.39%;两组患者治疗后血氧饱和度均高于治疗前;1d日均排痰量观察组多于对照组;观察组1、3d有效排痰率分别为83.72%、93.02%,显著高于对照组的58.14%、76.74%;观察组住院天数(13.58±3.16)d,显著低于对照组的(22.14±3.25)d,差异有统计学意义(P0.05)。结论早期肺部物理治疗降低高龄脑出血患者肺部感染,可缩短住院时间、降低肺部感染率,且操作安全,对控制医院感染具有重要临床意义。
[Abstract]:Objective to investigate the clinical effect of early pulmonary physiotherapy on reducing pulmonary infection in elderly patients with intracerebral hemorrhage and to provide evidence for clinical diagnosis and treatment. Methods 86 elderly patients with intracerebral hemorrhage were selected from August 2012 to August 2013 and divided into control group (n = 43) and observation group (n = 43). In the control group, routine therapy such as suction and atomization inhalation were performed on the 1st day after hospitalization. The patients in the observation group received pulmonary physical therapy 2 hours after hospitalization. Lung routine therapy was performed 1 day later. The pulmonary infection rate, pathogen distribution, blood oxygen saturation, blood pressure, hospitalization days and effective sputum excretion rate were observed in the two groups. The data were statistically analyzed by SPSS17.0 software. Results there were 17 cases of pulmonary infection in 86 elderly patients with intracerebral hemorrhage, the infection rate was 19.7777. The observation group was 9.30 and the control group was 30.23.The difference between the two groups was statistically significant (P0.05). A total of 26 pathogens were detected, of which 20 were bacteria (76.92), 2 virus (7.69) and 4 chlamydia (15.39). The effective rate of sputum excretion in the observation group was 83.72 and 93.02respectively, which was significantly higher than that in the control group (58.14 and 76.74). The days of hospitalization in the observation group (13.58 卤3.16) days were significantly lower than those in the control group (22.14 卤3.25) days, the difference was statistically significant (P0.05). Conclusion early pulmonary physical therapy can reduce pulmonary infection in elderly patients with intracerebral hemorrhage, shorten hospitalization time, reduce lung infection rate, and be safe to operate. It is of great clinical significance to control nosocomial infection.
【作者单位】：沈阳医学院附属中心医院神经内科;
【基金】：辽宁省卫生厅基金资助项目(2012225019)
【分类号】：R563.1

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