心胸外科术后患者顽固性肺部感染改良体位引流痰液效果探讨  

Effect of modified postural drainage on intractable pulmonary infection after cardiothoracic surgery

作　　者：滕莉[1] 燕鞠萍[1] 赵轲[1] 陈宝均[1] 张涛[1] 桂韵[1] 

机构地区：[1]武汉市中心医院心胸外科,湖北武汉430014

出　　处：《护理学杂志》2013年第10期25-27,共3页

摘　　要：目的提高心胸外科术后顽固性肺部感染的治疗效果。方法将88例心胸外科术后顽固性肺部感染患者按时间段分为对照组41例、观察组47例,在综合治疗的基础上,对照组采取常规头低足高位引流痰液,观察组针对肺部病灶选取45°半卧位、头低足高、头低足高俯卧位引流痰液。连续15d后评价效果。结果观察组PO2、PCO2、痰培养阳性率、抗生素使用时间、日痰量、日脱氧时间及肺部病灶缩小率优于对照组(均P<0.01)。结论改良体位引流痰液用于心胸外科术后顽固性肺部感染患者效果显著优于常规引流体位。Objective To improve therapeutic effect of intractable pulmonary infection after cardiothoracic surgery. Methods Eighty- eight patients with intractable pulmonary infection after cardiothoracic surgery were randomly divided into a control group of 41 and an observation group of 47 according to chronological order. On the basis of comprehensive treatment, patients in the control group were given routine sputum drainage using the trendelenburg position. The observation group received modified postural drainage： patients were placed in the 45~ semi Fowler position, in trendelenburg position, and in prone trendelenburg position. Effects were evaluated after the 15-day intervention. Results There were statistical differences in PO2 and PCOz, positive rate of sputum culture, usage time of antibiotics, daily sputum volume, daily oxygen deprivation time, and in the rate of pulmonary lesion decrease （P〈 0.01 for all）. Conclusion The modified postural drainage promotes therapeutic effect of intractable pulmonary infection after cardiothoracic surgery.

关 键 词：顽固性肺部感染 心胸外科手术 痰液引流 体位 

分 类 号：R473.6[医药卫生—护理学]