首页|排痰仪联合气道管理对老年肺炎患者痰液黏稠度、肺功能及血气指标的影响

排痰仪联合气道管理对老年肺炎患者痰液黏稠度、肺功能及血气指标的影响

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目的:探讨老年肺炎患者采用排痰仪联合气道管理对痰液粘稠、肺功能及血气指标的影响.方法:选取2022年6月至2023年6月在乐平市人民医院收治的老年肺炎患者共计80例,根据随机数字表法分成干预组(n=40)和对照组(n=40),对照组给予行气道管理,干预组给予排痰仪联合气道管理,比较两组痰液粘稠度、肺功能、血气指标.结果:干预组痰液粘稠度较对照组更佳(P<0.05);两组患者干预后第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、25%肺活量时最大呼气流速(PEF25)提高(P<0.05),干预组较对照组更高(P<0.05);两组干预后动脉血二氧化碳分压(PaCO2)降低(P<0.05),动脉血氧分压(PaO2)、氧合指数(PaO2/FiO2)提高(P<0.05),干预组PaCO2较对照组更低(P<0.05),PaO2、PaO2/FiO2更高(P<0.05).结论:老年肺炎患者给予排痰仪联合气道管理能够降低痰液粘稠度,提高肺功能,改善血气指标.
Objective:To explore the effect of sputum drainage instrument combined with airway management on sputum viscosity,pulmonary function and blood gas index in elderly patients with pneumonia.Methods:A total of 80 elderly patients with pneumonia who were admitted to Leping People's Hospital from June 2022 to June 2023 were selected and divided into the intervention group(n=40)and the control group(n=40)according to the random number table.The control group was given airway management,and the intervention group was given sputum extractor combined with airway management.Sputum viscosity,pulmonary function,and blood gas indicators of the two groups were compared.Results:The sputum viscosity in the intervention group was better than that in the control group(P<0.05);After intervention,FEV1,FVC and PEF25 at 25%Vital capacity in the first second increased(P<0.05),and the intervention group was higher than the control group(P<0.05);After intervention,the arterial partial pressure of carbon dioxide(PaCO2)decreased(P<0.05),while the arterial partial pressure of oxygen(PaO2)and oxygenation index(PaO2/FiO2)increased(P<0.05).The intervention group had lower PaCO2 compared to the control group(P<0.05),and higher PaO2 and PaO2/FiO2(P<0.05).Conclusion:The combination of sputum extractor and airway management in elderly patients with pneumonia can reduce sputum viscosity,improve lung function and improve blood gas indicators.

Sputum EjectorAirway managementElderly pneumoniaSputum viscosityLung functionBlood gas indicators

吴静静

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乐平市人民医院 江西乐平 333000

排痰仪 气道管理 老年肺炎 痰液黏稠度 肺功能 血气指标

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(4)
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