机械辅助排痰法在心脏瓣膜术后预防和治疗肺部感染中的应用.docVIP

精品论文 参考文献 机械辅助排痰法在心脏瓣膜术后预防和治疗肺部感染中的应用 中南大学湘雅二医院心血管外科二病区 湖南 长沙 410000 　　【摘 要】目的 探讨机械辅助排痰法在体外循环术后预防和治疗肺部感染的应用效果。方法2015年10月至2016年4月我科成人病区行心脏瓣膜手术（单纯瓣膜置换，不合并其他手术类型）患者为研究对象。选取84例术前无通气功能障碍、无肺部感染患者作为预防组，随机分为A组（机械排痰）和B组（手工拍背）各42例；选取84例肺部感染患者作为治疗组，随机分为C组（机械排痰）和D组（手工拍背）各42例。预防两组辅助3天、治疗组两辅助7天后观察患者呼吸频率，心率，血氧饱和度、氧分压和治疗效果等临床数据。结果 预防组在物理辅助排痰3天后结果显示A组和B组在呼吸频率、心率有统计学意义（P＜0.05），而在血样饱和度、氧分压及治疗效果方面两组未有明显差异；治疗组在物理辅助排痰7天后结果显示C组在改善呼吸频率、血样饱和度、氧分压、治疗效果等方面优于D组（P＜0.05），在降低心率方面两组未有明显差异。结论 机械辅助排痰法是一种安全、有效的排痰方法，较人工拍背排痰法能更好改善患者深部痰液潴留，减少了细菌感染的可能，值得在临床上推广应用。 　　【关键词】机械辅助排痰；手工拍背；体外循环；肺部感染 　　 　　Application of Chest Mechanical vibration Physiotherapy in Prevention and Treatment of Post-Cardiac Pulmonary Infections 　　Zhou lin 　　(Department of Cardiac Surgery，Xiangya NO.2 Hospital of Central South University, Changsha 410000, China) 　　【Abstract】Objective To explore the effect of chest mechanical vibration physiotherapy in prevention and treatment of post-cardiac pulmonary infections. Methods Altogether 84 patients as prevention group who had no ventilation dysfunction and pulmonary infection preoperative were randomly and evenly divided into two groups:A sub group (mechanical vibration) and B sub group (conventional percussive). Altogether 84 patients as treatment group who had pulmonary infection postperative were randomly and evenly divided into two groups:C sub group (mechanical vibration) and D sub group (conventional percussive). All patients who had been treated with cardiac operation in hospital from October 2015 to April 2016 were research subjects. Respiratory rate、heart rate、partial pressure of oxygen、oxygen saturation、therapeutic effect after physiotherapy were observed in both groups. Results Sub group A and sub group B in RR、HR was statistically significant (Plt;0.05), while in partial pressure of oxygen、oxygen saturation、therapeutic effect was no significant difference between the two groups after physiotherapy. Respiratory rate、partial pressure of oxygen、oxygen saturation、therapeutic e