CAJ | 학술논문

目的探讨改良式体位引流的在心胸外科术后顽固性肺部感染中的应用效果.方法选择心胸外科术后顽固性肺部感染患者88例,按时间区组法分为两组,对照组41例采用常规药物治疗及营养支持治疗,观察组47例在此基础上加用改良式体位引流的护理措施,比较两组患者治疗时间、恢复状况、抗生素使用时间的差异.结果改良式体位引流15 d后复查CT,观察组41例患者病灶缩小,对照组仅21例,两组比较差异有统计学意义(x2 =32.19,P＜0.01)；观察组SF-36量表生理功能、生理职能、一般健康状况、精力、精神健康评分分别为(52.22±9.27),(56.87 ±9.22),(58.69±7.54),(49.33±8.25),(53.28 ±7.89)分,对照组分别为(41.54±10.11),(44.28 ±10.41),(45.22±8.29),(33.21±9.57),(42.74 ±8.03)分,两组比较差异均有统计学意义(t值分别为3.45,2.65,4.21,3.54,2.58；P＜0.05).观察过程中两组未出现明显不良反应.结论改良式体位引流能够促进术后顽固性肺部感染患者恢复,优于单纯的药物治疗.
목적 탐토개량식체위인류적재심흉외과술후완고성폐부감염중적응용효과.방법 선택심흉외과술후완고성폐부감염환자88례,안시간구조법분위량조,대조조41례채용상규약물치료급영양지지치료,관찰조47례재차기출상가용개량식체위인류적호리조시,비교량조환자치료시간、회복상황、항생소사용시간적차이.결과 개량식체위인류15 d후복사CT,관찰조41례환자병조축소,대조조부21례,량조비교차이유통계학의의(x2 =32.19,P＜0.01)；관찰조SF-36량표생리공능、생리직능、일반건강상황、정력、정신건강평분분별위(52.22±9.27),(56.87 ±9.22),(58.69±7.54),(49.33±8.25),(53.28 ±7.89)분,대조조분별위(41.54±10.11),(44.28 ±10.41),(45.22±8.29),(33.21±9.57),(42.74 ±8.03)분,량조비교차이균유통계학의의(t치분별위3.45,2.65,4.21,3.54,2.58；P＜0.05).관찰과정중량조미출현명현불량반응.결론 개량식체위인류능구촉진술후완고성폐부감염환자회복,우우단순적약물치료.
Objective To explore application effect of modified postural drainage on treating stubborn pulmonary infection after cardiothoracic surgery.Methods Totals of 88 patients with stubborn pulmonary infection after cardiothoracic surgery were chosen,and randomly divided into the experimental group (n =47)and the control group (n =41).The control group received conventional drug therapy and nutritional support treatment,while the experimental group received modified postural drainage method in addition.Two groups'treating time,rehabilitation conditions,antibiotic use time were compared.Results Fifteen days after modified postural drainage,41 cases in the experimental group and 21 cases in the control group had smaller lesion,and the difference was statistically significant (x2 =32.19,P ＜ 0.01).The score of physical function,physical role,general health condition,vitality,and psychological health in SF-36 scale was respectively (52.22 ±9.27),(56.87 ± 9.22),(58.69 ± 7.54),(49.33 ± 8.25),(53.28 ± 7.89) in the experimental group,and (41.54 ± 10.11),(44.28 ± 10.41),(45.22 ± 8.29),(33.21 ± 9.57),(42.74 ± 8.03) in the control group,and the differences were statistically significant (t =3.45,2.65,4.21,3.54,2.58,respectively;P ＜0.05).There were no obvious adverse reactions in both groups.Conclusions Modified postural drainage,better than simple drug therapy,can promote the recovery of stubborn pulmonary infection after cardiothoracic surgery.