改良式体位引流对心胸外科术后顽固性肺部感染、患者临床疗效及生存质量的影响  

The effect of modified position drainage on the clinical efficacy and quality of surviv-al of patients with refractory pulmonary infection after thoracic surgery

作　　者：林慧慧 蒋双 贺广芹 吴云鸿[2] 

机构地区：[1]江南大学附属医院心胸外科,江苏无锡214062 [2]无锡市第二人民医院泌尿外科

出　　处：《国际护理学杂志》2018年第2期257-260,共4页international journal of nursing

摘　　要：目的探讨改良式体位引流对心胸外科术后顽固性肺部感染患者临床疗效和生存质量的影响。方法选取2014年10月～2015年10月该院心胸外科术后顽固性肺部感染患者51例作为对照组，给予常规护理干预；选取2015年11月-2016年11月该院心胸外科术后顽固性肺部感染患者51例作为研究组，给予改良式体位引流护理干预。对比两组患者护理后5d、15d抗生素使用情况、痰培养阳性率、血气指标、临床指标和护理前后生存质量评分。结果研究组护理后15d痰培养阳性率、使用抗生素比例低于对照组，差异均有统计学意义（均P〈0．05）；研究组护理后15d的PaO2高于对照组，PaC02低于对照组，差异均有统计学意义（均P〈O．01）；研究组护理后5d、15d每日痰量、每日脱氧时间优于对照组，差异均有统计学意义（均P〈O．01）；研究组护理后的生存质量评分高于对照组，差异有统计学意义（P〈O．01）。结论改良式体位引流应用于心胸外科术后顽固性肺部感染中效果显著，可有效地减少抗生素的使用，降低痰培养阳性率，改善血气指标，提高生存质量，l}缶床价值显著。Objective To explore the eftect of modilied posmon ctramage on the clinical emcacy anQ quanty oi survival of patients with refractory pulmonary infection after thoracic surgery. Methods From October 2014 to October 2015, 51 patients with refractory pulmonary infection after cardiothoracie surgery were selected as the control group, and routine nursing intervention was given. From November 2015 to November 2016, 51 cases of patients with refractory pulmonary infection after cardiothoracic surgery were selected as the study group, and the modified position drainage nursing intervention was given. The antbiotic use, sputum culture positive rate, blood spirit index and clinical index of patients in both groups in 5 days and 15 days after caring were compared. In addition, the survival quality score of pa- tients in both groups was also compared. Results The positive rate of sputum culture and antibiotic use were lower in the study group than in the control group at 15 days after nursing （P〈O. 05） . The PaO2 of the study group was higher than that of the control group at 15 days after nursing, and PaCO2 was lower than the control group （P〈0. 05） . In the five days and 15 days after the study, the daily amount of sputum and daily deoxygenation were better than the control group, and the difference was statistically significant （P〈O. 05 ）. The survival quality score of the study group was higher than the control group, and the difference was statistically significant （P〈0. 05） . Conclusions Modified pos- tural drainage is effective in the treatment of intractable pulmonary infection after cardiothoracic surgery. It can effectively reduce the use of antibiotics, decrease the positive rate of sputum culture, improve the blood gas index and improve the quality of life, and it has significant clinical value.

关 键 词：改良式体位引流 心胸外科 顽固性肺部感染 血气指标 生存质量 

分 类 号：R473.6[医药卫生—护理学]