摘要
目的研究肺部超声精准定位在重症监护病房肺部感染患者排痰中的应用价值。方法选择2019年6月-2020年6月绵阳市中心医院ICU收治的78例肺部感染患者,根据随机数字表分为对照组(n=38)和试验组(n=40),均接受常规治疗、药物治疗。对照组给予常规护理干预,试验组在此基础上辅以肺部超声辅助排痰,比较两组患者干预后24 h痰量、血气分析指标、炎症指标、临床肺部感染评分(CPIS)、呼吸困难量表评分(mMRC)、生活质量评分(SF-36)及不良事件发生率。结果试验组的mMRC评分优于对照组(P<0.05);干预7 d后,试验组痰量、CPIS评分、二氧化碳分压(PaCO_(2))、C反应蛋白、降钙素原白细胞计数低于对照组,SF-36评分、动脉血氧饱和度(SaO2)、氧分压(PaO_(2))高于对照组(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论肺部超声辅助排痰护理干预可以减轻ICU肺部感染患者呼吸困难的严重程度,减少炎症反应,提高患者的生活质量。
Objective To study the application value of precise positioning of lung ultrasound in sputum excretion of patients with pulmonary infection in intensive care unit.Methods A total of 78 patients with pulmonary infection admitted to ICU of Mianyang Central Hospital from June 2019 to June 2020 were selected and divided into control group(n=38)and experimental group(n=40)according to random number table.All patients received routine treatment and drug treatment.The control group was given routine nursing intervention,and the experimental group was supplemented with lung ultrasound-assisted sputum excretion on this basis.The sputum volume at 24 h after intervention,blood gas analysis index,inflammation index,clinical pulmonary infection score(CPIS),dyspnea scale score(mMRC),quality of life score(SF-36)and incidence of adverse events were compared between the two groups.Results The mMRC score of the experimental group was better than that of the control group(P<0.05).After 7 days of intervention,the sputum volume,CPIS score,carbon dioxide partial pressure(PaCO2),C-reactive protein and procalcitonin white blood cell count in the experimental group were lower than those in the control group,and SF-36 score,blood oxygen saturation(SaO2)and oxygen partial pressure(PaO2)were higher than those in the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Lung ultrasound-assisted sputum excretion nursing intervention can reduce the severity of dyspnea in ICU patients with pulmonary infection,reduce the inflammatory response,and improve their quality of life.
作者
王瑶
文丹
徐榕
梁拯华
贾超
WANG Yao;WEN Dan;XU Rong;LIANG Zheng-hua;JIA Chao(Intensive Care Unit,School of Medicine,University of Electronic Science and Technology of China,Mianyang Hospital·Mianyang Central Hospital,Mianyang 621000,Sichuan,China)
出处
《医学信息》
2024年第10期145-148,共4页
Journal of Medical Information
基金
2022年四川省卫生信息学会科研课题(编号:2022009)
绵阳市中心医院课题(编号:2022YJ005、2022YJ012)。
关键词
肺部超声
精准排痰
肺部感染
ICU
Lung ultrasound
Accurate sputum excretion
Lung infection
ICU
