量化肺部物理治疗在重症急性胰腺炎合并急性肺损伤患者中的应用

Application of quantify pulmonary physical therapy in patients with severe acute pancreatitis and acute lung injury

目的探讨量化肺部物理治疗方法对重症急性胰腺炎合并急性肺损伤患者的疗效。方法选择ICU诊断为重症急性胰腺炎合并急性肺损伤患者112例，在肺部物理治疗的基础上，量化肺部物理治疗的步骤和方法，用三步缩唇呼吸法、四步有效咳嗽法、五步有效叩背法、六步雾化吸入法、吹气球、持续加温湿化氧疗等肺部物理护理方法，观察患者气管插管率、抽动脉血气计算氧合指数、入住ICU时间。结果经量化的肺部护理方法后重症急性胰腺炎合并急性肺损伤患者气管插管率为7．14％（8／112），入住ICU时间为（10．00±7．85）d，积极有效的控制了急性肺损伤。结论量化肺部物理治疗是重症胰腺炎合并急性肺损伤肺部护理的有效护理方法之一。

Objective- To explore the effect of quantify physical therapy on treating acute lung injury patients with severe acute pancreatitis. Methods Selected 112 severe acute pancreatitis cases with acute lung injury staying in our ICU from January 2010 to October 2011. Based on traditional pulmonary physical therapy, used the strengthen, accurate and quantitative pulmonary physical therapy procedures such as three steps of shrinkage lip breathing method, four steps of effective cough method, five steps of effective knock back method, Six steps of atomization inhalation, blowing balloons, continuous add humidity change oxygen therapy and so on. Then, compared the rate of endotracheal intubation, oxygenation index and ICU stay time. Results After the intervention,the rate of endotracheal intubation was 7.14% （g/112）, and the ICU stay time was （10.00 ± 7.85） days,significantly decreased than that of the traditional therapy. Conclusions Quantify physical therapy is one of effective methods to treat acute lung injury patients with severe acute pancreatitis.