床旁肺部超声结合肺部护理治疗老年重症肺炎临床观察  

Clinical Observation on the Treatment of Senile Severe Pneumonia by Bedside Pulmonary Ultrasound Combined with Pulmonary Nursing

作　　者：王浩 张敏 李菁 石永珍 从丽 郭倩倩 刘军 李延伸 Wang Hao;Zhang Min;Li Jing;Shi Yongzhen;Cong Li;Guo Qianqian;Liu Jun;Li Yanshen(People's Hospital of Cangzhou City,Cangzhou 061000,Hebei Province,China)

机构地区：[1]河北省沧州市人民医院,河北省沧州市061000

出　　处：《中国病案》2021年第4期109-112,共4页Chinese Medical Record

基　　金：河北省沧州市重点研发指导项目(183302103)。

摘　　要：目的通过应用床旁肺部超声结合肺部护理治疗老年重症肺炎,观察临床效果。方法选取某院2019年5月1日-2020年5月31日在重症医学科住院的老年重症肺炎患者120例,按照随机数表法随机分为对照组和观察组各60例,对照组实施一般的胸部物理治疗,观察组实施超声引导下目标导向性胸部物理治疗,两组均持续治疗一周。观察两组老年重症肺炎患者的临床治疗效果,比较两组患者住院相关指标、血气指标和炎性因子水平,观察治疗过程中两组患者不良反应发生情况。结果观察组患者治疗有效率95.00%明显高于对照组78.33%,差异有统计学意义,χ^(2)=12.237,P=0.002。观察组患者症状缓解时间、ICU住院时间和总住院时间明显少于对照组,差异有统计学意义,t=14.312、9.668、6.040,P=0.000。治疗后两组患者PaO2、PaO2/FiO2均升高,Pa CO2均降低,且观察组患者升高/降低程度较对照组明显,差异有统计学意义,P<0.05。观察组患者不良反应发生率3.33%明显低于对照组16.67%,差异有统计学意义,χ^(2)=5.926,P=0.015。结论床旁肺部超声结合肺部护理治疗老年重症肺炎临床效果显著,缩短患者住院时间,减轻炎性反应,且安全性较高,值得临床进一步推广应用。Objective Explore the clinical effect of bedside lung ultrasound combined with lung nursing in the treatment of senile severe pneumonia. Methods Choose from May 2019 to May 2020 in intensive medicine hospital 120 cases of elderly patients with severe pneumonia, according to the stochastic indicator method were randomly divided into group and routine group, 60 cases in the control group to implement the general chest physical therapy, observation group targets under the guidance of ultrasound guidance chest physical therapy, both groups continue treatment for three months. To observe the clinical treatment effect of elderly patients with severe pneumonia in the two groups, compare the level of inpatient related indicators, blood gas indicators and inflammatory factors in the two groups, and observe the occurrence of adverse reactions in the treatment of patients in the two groups. Results The effective rate of the combined group(95.00%) was significantly higher than that of the conventional group(78.33%), and the difference was statistically significant(χ^(2)=12.237, P=0.002). Symptom relief time, LENGTH of ICU stay, and total length of stay in the combined group were significantly lower than those in the conventional group, and the differences were statistically significant(T =14.312, 9.668, 6.040, P=0.000). After treatment, PaO2 and PaO2/FiO2 in the two groups were increased, while Pa CO2 was decreased, and the degree of increase/decrease in the combined group was significantly higher than that in the control group, with statistically significant difference(P<0.05). The incidence of adverse reactions in the combined group(3.33%) was significantly lower than that in the conventional group(16.67%), and the difference was statistically significant(χ^(2)=5.926, P=0.015). Conclusion Bedside lung ultrasound combined with lung nursing treatment of elderly patients with severe pneumonia clinical effect is significant, shorten the length of hospital stay, reduce inflammatory response, and higher safety, worthy of clini

关 键 词：床旁肺部超声 肺部护理 老年重症肺炎 临床效果 

分 类 号：R473.5[医药卫生—护理学]