摘要
目的探讨侧向旋转吸痰干预模式对老年肺心病伴慢性阻塞性肺疾病(COPD)患者病情控制及呼吸机相关性肺炎(VAP)的预防效果。方法选择2019年10月—2022年10月医院收治的肺心病伴COPD老年患者72例,按照组间基本特征具有可比性的原则分为对照组和观察组,每组36例。对照组予以常规护理,观察组在对照组基础上应用侧向旋转吸痰干预模式。比较两组患者的血气功能、肺功能、肺动脉收缩压(PASP)、心脏Tei指数(TI)、VAP与相关并发症预防效果。结果实施侧向旋转吸痰干预后,观察组患者动脉二氧化碳分压(PaCO_(2))低于对照组,动脉血氧分压(PaO_(2))高于对照组,差异有统计学意义(P<0.05);用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、最大通气量(MMV)均高于对照组,差异有统计学意义(P<0.05);PASP、TI低于对照组,差异有统计学意义(P<0.05);VAP、并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论侧向旋转吸痰干预模式应用于老年肺心病伴COPD患者中,可有效改善其血气功能与肺功能,降低PASP、TI,有效控制病情,预防VAP的发生,降低相关并发症发生率。
Objective To explore the preventive effect of lateral rotational sputum suction intervention mode on condition control and ventilator-associated pneumonia(VAP)in elderly pulmonary heart disease patients with chronic obstructive pulmonary disease(COPD).Methods 72 cases of elderly pulmonary heart disease patients with COPD admitted to the hospital from October 2019 to October 2022 were selected and divided into a control group and an observation group in accordance with the principle of comparability of basic characteristics between the groups,with 36 cases in each group.The control group was given routine care,and the observation group applied lateral rotational sputum suction intervention mode on the basis of routine care.The blood gas function,lung function,pulmonary artery systolic pressure(PASP),cardiac Tei index(TI),VAP and the prevention of related complications were compared between the two groups.Results After the implementation of lateral rotation sputum suction intervention,patients in the observation group had lower arterial partial pressure of carbon dioxide(PaCO_(2))and higher arterial partial pressure of oxygen(PaO_(2))than those in the control group,the diff erence was statistically significant(P<0.05).forceful lung volume(FVC),forceful expiratory volume in the first second(FEV_(1)),and maximal maximal ventilation(MMV)were higher than those in the control group,the difference was statistically significant(P<0.05).PASP and TI were lower than those in the control group,the diff erence was statistically significant(P<0.05).VAP and complication rate were lower than the control group,the diff erence was statistically significant(P<0.05).Conclusion Lateral rotation sputum suction intervention mode applied to elderly pulmonary heart disease patients with COPD could effectively improve their blood gas function and lung function,reduce PASP and TI,effectively control the condition,prevent the occurrence of VAP and reduce the incidence of related complications.
作者
冯扣兰
石海燕
FENG Koulan;SHI Haiyan(Nantong Third Hospital Affiliated to Nantong University(Nantong Third People's Hospital),Nantong,226000,China)
出处
《护理实践与研究》
2023年第17期2621-2625,共5页
Nursing Practice and Research
基金
江苏省老年健康科研项目(编号:LD2021033)。
关键词
侧向旋转吸痰干预模式
肺心病
COPD
病情控制
VAP预防
并发症
Lateral rotation sputum suction intervention mode
Pulmonary heart disease
COPD
Disease control
VAP prevention
Complications
