摘要
目的探究集束化气道护理联合气道廓清技术(ACT)在肺部感染患者中的应用效果.方法选取本院2020年1月—2021年5月收治的102例肺部感染患者,按照随机数字表法分为对照组和观察组,每组51例.对照组采用ACT,观察组在对照组基础上采用集束化气道护理.比较两组的排痰情况、肺部感染持续时间、咳痰及呼吸困难积分、感染指标、并发症.结果干预后,观察组排痰量评分为(2.45±0.32)分,高于对照组的(2.01±0.20)分,肺部感染持续时间为(17.34±8.26)d,短于对照组的(23.17±9.36)d,组间差异有统计学意义(P<0.05).干预后,观察组的咳痰及呼吸困难量表评分分别为(1.05±0.14)分、(1.74±0.19)分,均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的白细胞计数及高敏C反应蛋白水平分别为(8.98±3.27)×109/L、(24.46±10.79)mg/L,均低于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.88%,低于对照组的19.61%,差异有统计学意义(P<0.05).结论集束化气道护理联合ACT能够有效改善肺部感染患者的咳痰及呼吸困难症状,缩短肺部感染持续时间,减轻感染症状,降低并发症发生率,利于加快患者恢复进程,具有临床推广应用价值.
Objective To explore the effect of cluster airway nursing combined with airway clearance technique(ACT)in patients with pulmonary infection.Methods A total of 102 patients with pulmonary infection admitted to our hospital from January 2020 to May 2021 were selected and divided into a control group and an observation group according to random number table method,with 51 cases in each group.The control group was treated with ACT,and the observation group was treated with bunched airway nursing based on the control group.The sputum discharge,duration of lung infection,expectoration and dyspnea scores,infection indexes and complications were compared between the two groups.Results After intervention,the sputum volume score of the observation group was(2.45±0.32)points,which was higher than(2.01±0.20)points of the control group,the duration of pulmonary infection was(17.34±8.26)d,which was shorter than(23.17±9.36)d of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of expectoration and modified medical research council scores in the observation group were(1.05±0.14)points and(1.74±0.19)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the white blood cell count and high sensitivity C-reactive protein levels in the observation group were(8.98±3.27)×109/L and(24.46±10.79)mg/L,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.88%,lower than 19.61%in the control group,and the difference was statistically significant(P<0.05).Conclusion Cluster airway nursing combined with ACT can effectively improve the symptoms of expectoration and dyspnea in patients with pulmonary infection,shorten the duration of pulmonary infection,reduce the symptoms of infection,reduce the incidence of complications,and help to speed up the recovery process of patients,which has clinical application value.
作者
蔡丹玲
CAI Danling(4th Department of Internal Medicine,The Third People's Hospital of Shantou,Shantou Guangdong,515073,China)
出处
《反射疗法与康复医学》
2021年第23期166-169,共4页
Reflexology And Rehabilitation Medicine
关键词
肺部感染
集束化气道护理
气道廓清术技术
咳痰
呼吸困难
肺部感染持续时间
并发症
Pulmonary infection
Cluster airway nursing
Airway clearance technique
Sputum
Breathing difficulties
Duration of lung infection
Complications
