早期实施肺部物理治疗对降低高龄脑出血患者肺部感染的效果观察

目的探讨高龄脑出血患者早期实施肺部物理治疗对肺部感染的影响及其安全性。方法选择2009～2010年68例高龄脑出血患者,随机分为观察组与对照组,每组34例。观察组患者入院或手术后2h开始肺部物理治疗;对照组患者入院或手术后24h开始肺部物理治疗。观察两组操作前后SaO2、血压变化;24h、72h平均排痰量、排痰效果;及肺部感染发生率、住院天数。结果两组患者肺部物理治疗前、后SaO2差异有显著意义(P<0.01、P<0.05)、24h日均排痰量、排痰效果两组比较差异有显著意义(P<0.01),72h排痰效果比较差异有显著意义(P<0.05),两组患者肺部感染发生率分别为5%与29%,差异有显著意义(P<0.01);两组患者住院天数分别为(14.77±2.84)d与(21.72±3.96)d,差异有显著意义(P<0.05)。结论高龄脑出血患者早期实施肺部物理治疗可减少肺部感染的发生,操作安全、有效,缩短了住院时间,对控制医院感染有良好效果。

Effect of early lung physical therapy for reduction of pulmonary infection of aged patients of brain hemorrhage

Objective To investigate the effect and safety of early lung physical therapy for pulmonary infection of aged patients of brain hemorrhage. Method 34 cases of aged patients of brain hemorrhage was selected as experiment group that started physical therapy in 2 hours at admission or post operation, other 34 cases as control group that started lung physical therapy in 24 hours at admission or post operation. A series of indicators, such as SaOz, blood pressure changes, average sputum quantity and effect of discharge sputum in 24h, 72h was observed for the two groups. Incidence of pulmonary infection and hospital day of two groups before and after performance compared. Result Difference of SaO~ for patients both experiment group and control group had statistics significance before com- pared with after performance（P〈0.01 ,P%0. 05）. Average sputum quantity and effect of discharge sputum in 24h was significantly difference, in two groups（P〈0.01）. Effect of discharge sputum in 72h was significantly difference in two groups（P〈0.05）. The incidence of pulmonary infection was 5% in experiment group and 29% in control group, there was significantly difference（P〈0.01）. Hospital day was （14. 77±2. 84 ） days in experiment group and （21.72±3.96） days in control group, there was significantly difference between the two group （P〈0.05）. Conclusion Early lung physical therapy for aged patients of brain hemorrhage may reduce incidence of pulmonary in- fection and shorten hospital day. The performance is safety and effective.