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肺通气功能提升临床干预路径对重症肺部感染患者的价值

The Value of a Clinical Intervention Pathway for Pulmonary Ventilation Function Enhancement in Patients with Critical Lung Infections
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摘要 目的探讨重症肺部感染患者采取肺通气功能提升临床干预路径护理的效果与价值。方法选取2020年10月—2022年12月宜兴市人民医院收治的80例重症肺部感染患者的临床资料进行回顾性分析,按照护理方案的区别进行分组,对照组(40例)护理方案予以常规模式,观察组(40例)护理方案予以肺通气功能提升临床干预路径模式。对比两组患者护理前后肺通气功能指标,同时分别对两组患者护理前后生活质量予以评估。结果护理前,两组患者肺通气功能水平对比,差异无统计学意义(P>0.05)。护理后,观察组最大通气量(maximal voluntary ventilation,MVV)(71.02±4.29)L、肺活量(vital capacity,VC)(72.01±4.07)%、第一秒用力呼气容积(forced expiratory volume in one second,FEV1)(67.11±5.31)L均高于对照组,差异有统计学意义(t=8.955、11.926、7.684,P<0.05)。护理后,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)。结论重症肺部感染患者通过实施肺通气功能提升临床干预路径护理,可促进患者肺通气功能的良好恢复,且有效提升生活质量。 Objective To investigate the effect and value of adopting a clinical intervention pathway of care for pulmonary ventilation function enhancement in patients with critical lung infections.Methods A retrospective analysis was performed on the clinical date of 80 patients with severe pulmonary infection admitted to Yixing People′s Hospital from October 2020 to December 2022.The patients were divided into groups according to the difference of nursing programs.The control group(40 cases)was given routine mode,and the observation group(40 cases)was given clinical intervention path mode to improve pulmonary ventilation function.The pulmonary ventilation function indexes of the two groups before and after nursing were compared,and the quality of life of the two groups before and after nursing was evaluated.Results Before nursing,there was no significant difference in pulmonary ventilation function between the two groups(P>0.05).After nursing,the maximal voluntary ventilation(MVV)(71.02±4.29)L,vital capacity(VC)(72.01±4.07)%and forced expiratory volume in one second(FEV1)(67.11±5.31)L in the observation group were higher than those in the control group,the difference was statistically significant(t=8.955,11.926,7.684,P<0.05).After nursing,the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of clinical intervention pathway care for pulmonary ventilation function improvement in patients with severe pulmonary infection can promote good recovery of pulmonary ventilation function and effectively improve the quality of life.
作者 吴敏 孙君平 丁皓琰 WU Min;SUN Junping;DING Haoyan(Intensive Care Unit,Yixing People′s Hospital,Yixing,Jiangsu Province,214200 China)
出处 《中外医疗》 2023年第23期135-139,共5页 China & Foreign Medical Treatment
关键词 肺通气功能 临床干预路径 重症肺部感染 生活质量 Pulmonary ventilatory function Clinical intervention pathway Critical lung infection Quality of life
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