Z字型过侧卧位在卒中相关性肺炎患者中的应用效果  

Effect of Z type in patients with stroke-related pneumonia

作　　者：陈晓琳 李晓凤 王素云 Chen Xiaolin;Li Xiaofeng;Wang Suyun(Department of Neurology,Qilu Hospital of Shandong University,Qingdao 266000,China)

机构地区：[1]山东大学齐鲁医院(青岛)神经内科,青岛266000

出　　处：《中国实用护理杂志》2022年第33期2607-2611,共5页Chinese Journal of Practical Nursing

摘　　要：目的探索卒中相关性肺炎患者应用Z字型过侧卧位的效果。方法采用便利抽样法选取2021年2—12月山东大学齐鲁医院(青岛)神经内科ICU收治的卒中相关性肺炎患者52例为研究对象,采用随机数字表法分为对照组和观察组各26例。对照组采取常规体位管理,观察组采用Z字型过侧卧位的方法进行体位管理,观察2组痰液量、临床肺部感染评分(CPIS)、SpO2变化、住院时间等的差异。结果观察组实施措施后第7天SpO2为0.966±0.210,与对照组的0.948±0.223比较,差异有统计学意义(t=3.07,P<0.01);观察组吸痰量在实施措施后第1、3、7天为(30.65±10.01)、(39.27±11.30)、(36.92±12.94)ml,均明显高于对照组的(24.81±9.55)、(28.92±9.40)、(27.65±7.85)ml,差异有统计学意义(t=2.16、3.59、3.12,均P<0.05);观察组实施后第7天CPIS评分(4.54±1.63)分,优于对照组的(5.46±1.61)分,差异有统计学意义(t=-2.06,P<0.05);观察组患者的住院时间(13.35±2.74)d,短于对照组的(15.46±4.42)d,差异有统计学意义(t=-2.07,P<0.05)。结论应用Z字型过侧卧位对于卒中相关性肺炎患者的康复及愈后有积极意义,该体位可以促进痰液引流,改善患者肺功能,加快炎症消散,减少住院天数。Objective To explore the effect of Z type lateral decubitus position in patients with stroke-related pneumonia.Methods Totally 52 patients with stroke-related pneumonia admitted to the neurology care unit in Qilu Hospital of Shandong University(Qingdao)were randomly divided into the control group and the observation group with 26 cases in each group from February to December 2021.The control group adopted routine position management,and the observation group adopted the Z type lateral decubitus position to observe.The differences in sputum volume,clinical pulmonary infection score(CPIS),blood oxygen saturation change,and hospital stay between the two groups were compared.Results The SpO2 was 0.966±0.210 in the observation group and 0.948±0.223 in the control group on the 7th day after the implementation of the measures.There was a significant difference between the two groups(t=3.07,P<0.01).The sputum aspiration volume of the observation group was(30.65±10.01),(39.27±11.30),(36.92±12.94)ml on the 1st,3rd,7th day after the implementation of the measures,which were significantly higher than those of the control group(24.81±9.55),(28.92±9.40),(27.65±7.85)ml.The differences were statistically significant(t=2.16,3.59,3.12,P<0.05).On the 7th day after implementation,the CPIS score of the observation group was 4.54±1.63,which was better than that of the control group 5.46±1.61(t=-2.06,P<0.05).The average length of stay in the observation group was(13.35±2.74)d,which was significantly shorter than(15.46±4.42)d in the control group(t=-2.07,P<0.05).Conclusions The use of Z type lateral decubitus position has a positive significance for the rehabilitation and recovery of patients with stroke-related pneumonia.This position can promote sputum drainage and improve patients pulmonary function,accelerate the dissipation of patient inflammation,and reduce the length of hospital stay.

关 键 词：卒中相关性肺炎 Z字型过侧卧位 体位管理 气道管理 

分 类 号：R473.74[医药卫生—护理学]