首页|间歇雾化吸入联合机械排痰对卒中相关性肺炎的护理疗效

间歇雾化吸入联合机械排痰对卒中相关性肺炎的护理疗效

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目的 观察间歇雾化吸入联合机械排痰对卒中相关性肺炎的护理疗效.方法 选取2020年1月-2021年1月在我院诊治的44例间歇雾化吸入联合机械排痰治疗的卒中相关性肺炎患者为研究对象,采用随机数字表法分为对照组和观察组,各22例.对照组采用常规干预,观察组采用机械排痰气道护理干预.比较两组排痰量、住院时间、呼吸功能指标、并发症发生率、肺部感染评分(CPIS)以及护理疗效.结果 观察组日排痰量大于对照组、住院时间均小于对照组(P<0.05);两组干预后血氧饱和度(SpO2)、氧合指数(PaO2/FiO2)均大于治疗前,动脉血二氧化碳分压(PaCO2)、气道阻力(Raw)均小于治疗前,且观察组SpO2、PaO2/FiO2均大于对照组,PaCO2、Raw均小于对照组(P<0.05);观察组并发症发生率为4.55%,低于对照组的18.18%(P<0.05);两组干预后CPIS评分均小于干预前,且观察组小于对照组(P<0.05);观察组护理总有效率为95.45%,高于对照组的81.82%(P<0.05).结论 间歇雾化吸入联合机械排痰护理干预对卒中相关性肺炎气道护理疗效具有积极的影响,可提高护理效果,降低肺部感染评分,预防并发症,改善呼吸功能,增加日排痰量,缩短住院时间,具有较好的护理效果,值得临床应用.
Nursing Effect of Intermittent Atomization Inhalation Combined with Mechanical Expectoration on Stroke-associated Pneumonia
Objective To observe the nursing effect of intermittent atomization inhalation combined with mechanical expectoration on stroke-associated pneumonia.Methods A total of 44 patients with stroke-associated pneumonia treated by intermittent aerosol inhalation combined with mechanical expectoration in our hospital from January 2020 to January 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 22 patients in each group.The control group was treated with routine intervention,and the observation group was treated with mechanical expectoration airway nursing intervention.The sputum volume,hospitalization time,respiratory function index,complication rate,pulmonary infection score(CPIS)and nursing efficacy were compared between the two groups.Results The daily sputum volume of the observation was larger than that of the control group,and hospitalization time of the observation group was less than that of the control group(P<0.05).After intervention,the blood oxygen saturation(SpO2)and oxygenation index(PaO2/FiO2)in the two groups were higher than those before treatment,and the arterial partial pressure of carbon dioxide(PaCO2)and airway resistance(Raw)were lower than those before treatment,while the SpO2 and PaO2/FiO2 in the observation group were higher than those in the control group,the PaCO2 and Raw were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 4.55%,which was lower than 18.18% in the control group(P<0.05).The CPIS score of the two groups after intervention was lower than that before intervention,and the observation group was lower than the control group(P<0.05).The total effective rate of nursing in the observation group was 95.45%,which was higher than 81.82% in the control group(P<0.05).Conclusion Intermittent atomization inhalation combined with mechanical expectoration nursing intervention has a positive effect on the efficacy of airway nursing for stroke-associated pneumonia.It can improve the nursing effect,reduce the score of pulmonary infection,prevent complications,improve respiratory function,increase daily sputum excretion,and shorten hospitalization time,with higher nursing effect and is worthy of clinical application.

Intermittent atomization inhalationMechanical expectorationStroke-associated pneumonia

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天津市胸科医院RICU,天津 300222

间歇雾化吸入 机械排痰 卒中相关性肺炎

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(2)
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