Clinical Value of Bedside Bronchial Lavage Combined with Anti-infection in the Treatment of Stroke Aspiration Pneumonia on Blood Gas Index and Clinical Symptoms
Objective:To observe the effect of bedside bronchial lavage combined with routine anti-infection treatment on blood gas index and clinical symptom recovery of patients with stroke aspiration pneumonia.Methods:Taking 112 patients with stroke aspiration pneumonia admitted to ICU in the hospital from January 2021 to January 2022 as the study subjects.They were divided into the conventional group(56 cases)and the experimental group(56 cases)by the method of drawing lots.The conventional group was treated with conventional sputum aspiration and anti-infective drugs,and the experimental group was treated with bedside bronchial lavage technology on the basis of conventional anti-infective drugs.The arterial blood gas indexes before and after treatment were compared between the two groups.The improvement of inflammatory indicators and clinical symptoms were evaluated comprehensively.Results:After treatment,SaO2 and PO2 in the conventional group was higher than that in the conventional group,PaCO2 was lower than that in the conventional group,the differences were statistically significant(t=3.066,3.913,3.330;P＜0.05).WBC,NE and PCT were lower than those of the conventional group,the differences were statistically significant(t=5.407,2.933,5.128;P＜0.05).The cough relief time,expectoration elimination time,the fever elimination time and the lung moist rale elimination time were lower than those in the conventional group(t=5.452,5.684,6.101,4.963;P＜0.05).The ICU transfer time and the complication rate were lower than those of the conventional group(t=5.861,x2=5.253;P＜0.05).Conclusion:The use of bedside bronchial lavage combined with routine anti-infection treatment can effectively improve the arterial blood gas index and inflammation index of stroke aspiration pneumonia,and has effect in promoting the recovery of symptoms,accelerating the improvement of the condition and reducing the risk of complications.
Stroke aspiration pneumoniaBedside bronchial lavageAnti-infection treatmentBlood gas indexClinical symptoms
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