摘要
目的 观察分析排痰仪联合气压治疗在老年重症患者中的应用效果.方法 选取2019年1月至2020年12月南京同仁医院收治的老年重症患者70例,随机分为两组.对照组采取常规气道护理,观察组加用排痰仪与气压治疗.比较两组气道清洁效果、肺功能、血气指标、炎症因子、住院时间及治疗费用.结果 观察组每日痰量多于对照组,痰液性状、黏稠度、咳嗽强度、咳嗽频率等气道清洁指标均优于对照组,P＜0.05.观察组干预后FEV1、FVC、FEVi/FVC、PEF均高于对照组,P＜0.05.观察组干预后PaO2、PaO2/FiO2均高于对照组,PaCO2低于对照组,P＜0.05.观察组治疗后IL-6、TNF-α、CRP均低于对照组,P＜0.05.结论 排痰仪联合气压治疗可改善老年重症患者血气指标与肺功能,减轻气道炎症反应,促进患者康复和预后,节省医疗资源.
Abstract
Objective:To observe and analyze the application effect of expectoration instrument combined with air pressure therapy in elderly patients with severe diseases.Methods:From January 2019 to December 2020,70 elderly critically ill patients admitted to Nanjing Tongren Hospital were randomly divided into two groups.The control group was given routine airway care,while the observation group was given sputum expectoration instrument and air pressure treatment.The airway cleaning effect,lung function,blood gas index,inflammatory factors,hospitali-zation time and treatment cost were compared between the two groups.Results:The amount of sputum in the obser-vation group was more than that in the control group,and the airway cleaning indexes such as sputum properties、viscosity、cough intensity and cough frequency were better than those in the control group,P＜0.05.After interven-tion,FEV1、FVC、FEV1/FVC and PEF in the observation group were higher than those in the control group,P＜0.05.After intervention,PaO2 and PaO2/FiO2 in the observation group were higher than those in the control group,while PaCO2 was lower than that in the control group,P＜0.05.After treatment,IL-6、TNF-α and CRP in the observation group were lower than those in the control group,P＜0.05.Conclusion:Sputum expectoration instru-ment combined with air pressure therapy can improve blood gas index and lung function,reduce airway inflamma-tion,promote patients'rehabilitation and prognosis,and save medical resources.
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