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find Keyword "脑卒中相关性肺炎" 2 results
  • 气道廓清术在脑卒中相关性肺炎气管切开患者康复中的应用

    目的观察气道廓清技术对脑卒中相关性肺炎气管切开患者的临床疗效。方法将 60 例脑卒中相关性肺炎气管切开患者按随机数字表法分为观察组和对照组。观察组在常规治疗的基础上给予气道廓清技术排痰,对照组给予常规治疗和传统体位引流排痰。记录患者体温、外周血白细胞计数、排痰量、气体交换指数及胸部 X 线片浸润情况,比较组间临床肺部感染评分(CPIS)、气管套管拔管时间、拔管成功率及临床疗效的差异。结果干预第 2、3 周后,观察组的 CPIS 评分较对照组均明显降低(P<0.05);干预第 4 周后,观察组的 CPIS 评分较对照组显著降低(P<0.01);与干预前相比,从第 2 周开始,随着干预周数的增加,观察组 CPIS 评分降低越显著(P<0.01),而对照组至第 4 周 CPIS 评分才显著降低(P<0.01)。干预 4 周结束后,观察组显效 23 例,有效 6 例,无效 1 例;对照组显效 13 例,有效 16 例,无效 1 例,组间差异有统计学意义(P<0.05)。干预后观察组患者拔管成功率明显高于对照组(P<0.05),观察组拔管时间比对照组显著缩短(P<0.01)。结论气道廓清技术能有效减少脑卒中相关性肺炎气管切开患者痰液,改善患者的缺氧症状,有利于缩短拔管时间,减少并发症的发生,提高拔管成功率,促进患者的康复。

    Release date:2021-05-25 01:52 Export PDF Favorites Scan
  • Application of pulmonary rehabilitation in patients with stroke-associated pneumonia: a scoping review

    ObjectiveTo systematically analyse the application of pulmonary rehabilitation in patients with stroke-associated pneumonia (SAP), in order to provide reference for clinical healthcare professionals to carry out relevant interventions. Methods PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang, Chongqing VIP, and SinoMed were systematically searched, with a search period from database establishment until December 31, 2023. The scoping review method was used to analyze the included studies. Results A total of 16 studies were included, mainly randomized controlled trials and quasi-experimental studies. The research mainly focuses on China and South Korea. The sample size was generally 40-80 cases. The duration of intervention is mostly 2-4 weeks. Six different lung rehabilitation interventions were involved. The main outcome measures included lung function, incidence of SAP, mortality rate, cognitive function, severity of stroke, length of intensive care unit stay, duration of antibiotic use, and daily living activity. Most studies had shown that lung rehabilitation has a significant impact on SAP patients.Conclusions The effectiveness of pulmonary rehabilitation in SAP patients has been preliminarily validated. Future research needs to cover a wider range of regions and larger samples, and conduct long-term tracking studies and multidimensional evaluations to enhance the universality and reliability of the results.

    Release date:2024-06-24 02:56 Export PDF Favorites Scan
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