摘要
目的探讨糖尿病患者采用吹气球法对肺部感染预防效果,以控制肺部感染的发生。方法选取医院2012年1月-2014年12月收治的糖尿病患者320例,将患者随机分为观察组和对照组,每组各160例,对照组进行常规呼吸功能训练,观察组在此基础上进行吹气球法训练,对两组患者痰液黏稠度、排痰程度、肺部感染、呼吸频率、指脉血氧饱和度、动脉血氧分压、肺活量和最大呼气流量进行对比分析。结果观察组排痰程度、痰液黏稠度得分均显著低于对照组(P<0.05);观察组肺炎、肺不张和胸腔积液发生率均显著低于对照组(P<0.05);干预前,两组呼吸频率、指脉血氧饱和度、动脉血氧分压、肺活量和最大呼气流量差异均无统计学意义,干预后,观察组呼吸频率显著低于对照组,指脉血氧饱和度、动脉血氧分压、肺活量和最大呼气流量均显著高于对照组(P<0.05)。结论吹气球法进行肺功能锻炼可有效预防糖尿病患者肺部感染的发生,提高患者呼吸和肺功能,是一种安全、经济、操作简单、行之有效的预防肺部感染的方法,值得临床推荐。
OBJECTIVE To explore the effect of balloon-blowing mode on prevention of pulmonary infections in the diabetes patients so as to control the pulmonary infections.METHODS A total of 320 diabetes patients who were treated in the hospital from Jan 2012 to Dec 2014 were enrolled in the study and randomly divided into the observation group and the control group,with 160 cases in each.The control group was treated with conventional respiratory function training,while the observation group was treated with balloon-blowing method on the basis of the conventional respiratory function training.The sputum viscosity,expectoration degree,pulmonary infections,respiratory rate,blood oxygen saturation of artery blood of finger,arterial partial pressure of oxygen,vital capacity,and maximal expiratory flow were observed and compared between the two groups of patients.RESULTS The scores of expectoration degree and sputum viscosity of the observation group were significantly lower than those of the control group（P〈0.05）.The incidence rates of pneumonia,atelectasis,and pleural effusion of the observation group were significantly lower than those of the control group（P〈0.05）.There was no significant difference in the respiratory rate,blood oxygen saturation of artery blood of finger,arterial partial pressure of oxygen,vital capacity,or maximal expiratory flow between the two groups before the intervention.After the intervention,the respiratory rate of the observation group was significantly lower than that of the control group,while the blood oxygen saturation of artery blood of finger,arterial partial pressure of oxygen,vital capacity,and maximal expiratory flow of the observation group were significantly higher than those of the control group（P 0.05）.CONCLUSIONThe use of balloon-blowing method for lung function practice can effectively prevent the pulmonary infections in the diabetes patients and improve the respiratory and lung function.It is a safe,economical,simple,and effective method for prevention of the pulmonary infections and is worthy to be promoted in the hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第18期4200-4202,共3页
Chinese Journal of Nosocomiology
基金
山东省科技厅基金资助项目(Z-2014-1-3-44-1)
关键词
糖尿病
肺部感染
吹气球法
Diabetes
Pulmonary infection
Balloon-blowing method
