胸部物理治疗在肺炎患者肺康复中的应用效果

Application of chest physiotherapy in lung rehabilitation of patients with pneumonia

目的分析胸部物理治疗在肺炎患者肺康复中的应用效果.方法选取西安交通大学附属3201医院(2017年8月—2019年8月)收治的肺炎患者96例,采用随机数字法分为两组.对照组给予基础治疗,包括抗炎、氧疗及其它对症治疗,观察组在对照组基础上联合胸部物理治疗,分析两组患者治疗后的临床疗效.结果观察组总有效率(81.25%)高于对照组(70.83%),但组间比较差异不具有统计学意义(P>0.05).观察组退热时间(5.35±1.28)d、肺部体征好转时间(10.02±3.12)d、X光片好转时间(8.81±3.01)d及住院时间(13.53±1.29)d短于对照组(P<0.05).两组治疗前白细胞计数(WBC)、降钙素原(PCT)、C反应蛋白(CRP)水平组间比较,差异不具有统计学意义(P>0.05).观察组治疗后WBC、PCT、CRP水平低于对照组,WBC、PCT、CRP治疗前后差值高于对照组(P<0.05).两组患者均无死亡病例,观察组再住院率(2.08%)与对照组(6.25%)比较,差异不具有统计学意义(P>0.05).结论胸部物理治疗应用于肺炎患者可降低患者炎症因子的表达水平,缩短住院时间,对半年内再住院率,死亡率影响不大.

Objective To analyze the effect of chest physiotherapy on the pulmonary rehabilitation of patients with pneumonia.Methods 96 cases of pneumonia in 3201 Hospital Affiliated to Xi'an Jiaotong University from August 2017 to August 2019 were randomly divided into two groups.The control group was given basic treatment,including an⁃ti-inflammatory,oxygen therapy and other symptomatic treatment.The observation group combined with chest physio⁃therapy on the basis of the control group,and analyzed the clinical efficacy of the two groups after treatment.Results The total effective rate of the observation group(81.25%)was higher than that of the control group(70.83%),but there was no significant difference between the two groups(P>0.05).The antipyretic time was(5.35±1.28)days in the obser⁃vation group,and the improvement time of pulmonary signs was(10.02±3.12)days in the observation group.The im⁃provement time of X-ray film was(8.813.01)d and the hospitalization time was(13.53±1.29)d.The leukocyte count of(WBC),pro-calcitonin(PCT),Creactive protein(CRP)level in the two groups before treatment was significantly shorter than that in the control group(P<0.05).The difference is not statistically significant(P>0.05).After treatment,the lev⁃el of WBC,PCT,CRP in the observation group was lower than that in the control group,and the difference before and af⁃ter treatment with WBC,PCT,CRP was higher than that in the control group(P<005).The re-hospitalization rate in the observation group(2.08%)was not significantly different from that in the control group(6.25%)(P>0.05).Conclusion The application of chest physiotherapy in patients with pneumonia can reduce the expression of inflammatory factors,shorten the hospitalization time,and has little effect on the rate of re-hospitalization and mortality within half a year.