老年腦出血患者肺部感染物理治療的療效探討
本文選題:老年腦出血患者 + 肺部物理治療 ; 參考:《中華醫(yī)院感染學(xué)雜志》2015年12期
【摘要】:目的探討老年腦出血患者肺部感染物理治療的影響及相關(guān)安全性,為臨床治療提供參考。方法選擇2010-2013年收治的133例老年腦出血患者為研究對象,隨機(jī)分為對照組66例、觀察組67例,對照組行常規(guī)性手術(shù)治療,觀察組在對照組基礎(chǔ)上采取肺部物理治療,對比兩組患者治療期間每日排痰量、血氧飽和度(SaO2)、住院時(shí)間及肺部感染率。結(jié)果經(jīng)治療后,觀察組患者肺部感染率及住院時(shí)間分別為2.99%、(12.80±2.10)d,顯著低于對照組的19.70%、(22.60±2.50)d,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者每天排痰量(19.00±1.20)ml及SaO2(5.20±1.20)%,顯著高于對照組的(12.11±0.90)ml及(2.30±0.10)%,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者治療優(yōu)良率為94.03%,顯著高于對照組的68.18%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對老年腦出血患者進(jìn)行肺部物理治療,療效顯著,可降低患者肺部感染率、減少住院時(shí)間,且安全性較高,值得臨床廣泛推廣使用。
[Abstract]:Objective to investigate the effect and safety of physical therapy on pulmonary infection in elderly patients with intracerebral hemorrhage. Methods 133 elderly patients with intracerebral hemorrhage from 2010 to 2013 were randomly divided into control group (n = 66) and control group (n = 67). The amount of sputum excretion, oxygen saturation, duration of hospitalization and pulmonary infection rate were compared between the two groups. Results after treatment, The pulmonary infection rate and hospitalization time of the observation group were 12.80 鹵2.10 days, which were significantly lower than that of the control group (19.70 鹵2.50 d, P < 0.05), and the amount of sputum excretion per day was 19.00 鹵1.20)ml and 5.20 鹵1.20 in the observation group, which was significantly higher than that in the control group (12.11 鹵0.90)ml and 2.30 鹵0.10). The excellent and good rate of treatment in the observation group was 94.03, which was significantly higher than that in the control group (68.18%), and the difference was statistically significant (P 0.05). Conclusion Pulmonary physical therapy for elderly patients with intracerebral hemorrhage is effective, which can reduce the pulmonary infection rate and hospital stay, and is safe and worthy of extensive clinical application.
【作者單位】: 湖北民族學(xué)院附屬民大醫(yī)院神經(jīng)外科;
【基金】:湖北省教育廳科學(xué)研究基金資助項(xiàng)目(SZ2012-17)
【分類號】:R743.34;R563.1
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