老年脑出血患者肺部感染物理治疗的疗效探讨

Effect of physical therapy on elderly cerebral hemorrhage and pulmonary infections

目的探讨老年脑出血患者肺部感染物理治疗的影响及相关安全性,为临床治疗提供参考。方法选择2010-2013年收治的133例老年脑出血患者为研究对象,随机分为对照组66例、观察组67例,对照组行常规性手术治疗,观察组在对照组基础上采取肺部物理治疗,对比两组患者治疗期间每日排痰量、血氧饱和度(SaO2)、住院时间及肺部感染率。结果经治疗后,观察组患者肺部感染率及住院时间分别为2.99%、(12.80±2.10)d,显著低于对照组的19.70%、(22.60±2.50)d,差异均有统计学意义(P<0.05);观察组患者每天排痰量(19.00±1.20)ml及SaO2(5.20±1.20)%,显著高于对照组的(12.11±0.90)ml及(2.30±0.10)%,差异均有统计学意义(P<0.05);观察组患者治疗优良率为94.03%,显著高于对照组的68.18%,差异有统计学意义(P<0.05)。结论对老年脑出血患者进行肺部物理治疗,疗效显著,可降低患者肺部感染率、减少住院时间,且安全性较高,值得临床广泛推广使用。

OBJECTIVE To explore the influence and relative safety of physiotherapy on the lung infections of elder‐ly patients with cerebral hemorrhage ,so as to provide the reference for the clinical treatment .METHODS Totally 133 cases of senile cerebral hemorrhage patients treated in our hospital from 2010 to 2013 were selected as objects of study .They were randomly divided into control group （n= 66） ,and observation group （n= 67） .General treatment was used in the control group ,and on the basis of that ,pulmonary physiotherapy treatment was adopted in the observation group .The daily sputum volume ,blood oxygen saturation （SaO2 ） ,length of hospital stay and lung infections rates were compared in the two groups .RESULTS After the treatment ,the pulmonary infection rate and hospital stay of observation group were 2 .99% and （12 .80 ± 2 .10）d respectively ,which were significant‐ly lower than those of control group of 19 .70% and （22 .60 ± 2 .50）d （P〈0 .05） .The daily sputum volume was （19 .00 ± 1 .20） ml in the observation group and the changes of SaO2 was （5 .20 ± 1 .20）% of observation group . They were significantly higher than that of the control group of （12 .11 ± 0 .90）ml and （2 .30 ± 0 .10）% （P〈0 . 05） .The excellent and good rate of observation group was 94 .03% ,which was significantly higher than that in control group （68 .18% ） （P〈0 .05） .CONCLUSION Lung physical therapy in elderly patients with cerebral hem‐orrhage can significantly reduced pulmonary infection rate ,length of time ,hence the curative effect is remarkable , and it is of high safety thus is worth to be widely used in clinical practice .