康复治疗联合呼吸训练对脑卒中合并肺部感染患者生活质量以及血清hs-CRP、PCT水平的影响  

Effects of Rehabilitation Therapy Combined with Respiratory Training on Quality of Life and Serum hs-CRP and PCT Levels in Stroke Patients with Pulmonary Infection

作　　者：马宏艳 邓海燕 MA Hongyan;DENG Haiyan(Department of Rehabilitation,Beijing Sijiqing Hospital,Beijing,100097 China;Department of Oncology,Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing,100039 China)

机构地区：[1]北京四季青医院康复科,北京100097 [2]北京市中西医结合医院肿瘤科,北京100039

出　　处：《系统医学》2022年第10期34-38,共5页Systems Medicine

基　　金：北京市中医药科技发展基金资助项目(JJ2018-29)。

摘　　要：目的 分析康复治疗联合呼吸训练应用于脑卒中合并肺部感染患者的临床价值。方法 选取2018年1月—2020年2月该院收治的142例肺部感染患者,随机分为对照组(康复治疗)与观察组(康复治疗联合呼吸训练),各71例。对比两组治疗后的炎性因子水平、临床症状缓解时间、治疗总有效率、肺部感染程度和生活质量评分。结果 治疗后,观察组的CRP、PCT水平明显低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率(95.77%)较对照组(85.92%)高,差异有统计学意义(χ^(2)=4.149,P=0.042);观察组感染情况明显轻于对照组,差异有统计学意义(Z=2.441,P=0.015);观察组退热时间、肺部湿啰音消失时间、咳嗽消失时间、咳痰消失时间明显短于对照组,差异有统计学意义(P<0.05);观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论 给予脑卒中合并肺感染患者康复治疗联合呼吸训练法,能够明显缓解患者的临床症状,促进炎性因子的清除,利于肺功改善,也提高了生活质量。Objective To analyze the clinical value of rehabilitation therapy combined with respiratory training in stroke patients complicated with pulmonary infection.MethodsA total of 142 pulmonary infection patients admitted to the hospital from January 2018 to February 2020 were selected,and were randomly divided into control group(receiving rehabilitation therapy) and observation group(receiving rehabilitation therapy combined with breathing training),with 71 cases in each group.After treatment,the levels of inflammatory factors,clinical symptom relief time,total response rate,pulmonary infection degree and quality of life score were compared between the two groups.ResultsAfter treatment,the levels of CRP and PCT in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group(95.77%) was higher than that in the control group(85.92%),the difference was statistically significant(χ~2=4.149,P=0.042).The infection status in the observation group was significantly lower than that in the control group,the difference was statistically significant(Z=2.441,P=0.015).The antipyretic time,the disappearance time of lung rales,the disappearance time of cough,and the disappearance time of expectoration in the observation group were significantly shorter than those in the control group,the difference was statistically significant(P<0.05).The quality of life score of the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).ConclusionRehabilitation therapy combined with respiratory training for stroke patients with pulmonary infection can significantly relieve the clinical symptoms of patients,promote the clearance of inflammatory factors,improve lung function and improve the quality of life.

关 键 词：肺功能 呼吸训练 康复治疗 脑卒中合并肺部感染 炎性因子 

分 类 号：R59[医药卫生—内科学]