Application of Lung Ultrasound-assisted Sputum Excretion in ICU Patients with Pulmonary Infection
Objective To study the application value of precise positioning of lung ultrasound in sputum excretion of patients with pulmonary infection in intensive care unit.Methods A total of 78 patients with pulmonary infection admitted to ICU of Mianyang Central Hospital from June 2019 to June 2020 were selected and divided into control group(n=38)and experimental group(n=40)according to random number table.All patients received routine treatment and drug treatment.The control group was given routine nursing intervention,and the experimental group was supplemented with lung ultrasound-assisted sputum excretion on this basis.The sputum volume at 24 h after intervention,blood gas analysis index,inflammation index,clinical pulmonary infection score(CPIS),dyspnea scale score(mMRC),quality of life score(SF-36)and incidence of adverse events were compared between the two groups.Results The mMRC score of the experimental group was better than that of the control group(P＜0.05).After 7 days of intervention,the sputum volume,CPIS score,carbon dioxide partial pressure(PaCO2),C-reactive protein and procalcitonin white blood cell count in the experimental group were lower than those in the control group,and SF-36 score,blood oxygen saturation(SaO2)and oxygen partial pressure(PaO2)were higher than those in the control group(P＜0.05).There was no significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion Lung ultrasound-assisted sputum excretion nursing intervention can reduce the severity of dyspnea in ICU patients with pulmonary infection,reduce the inflammatory response,and improve their quality of life.
万方数据
维普
