改良式体位引流在心胸外科术后顽固性肺部感染中的应用  

Application of modified postural drainage in treating stubborn pulmonary infection after cardiothoracic surgery

作　　者：滕莉[1] 燕菊萍[1] 赵轲[1] 桂韵[1] 陈宝钧[1] 胡欢[1] 

机构地区：[1]武汉市中心医院心胸外科,430000

出　　处：《中华现代护理杂志》2013年第15期1843-1846,共4页Chinese Journal of Modern Nursing

摘　　要：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15d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（Х^2=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。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.

关 键 词：引流 体位 胸外科手术 顽固性肺部感染 

分 类 号：R473.56[医药卫生—护理学]