围手术期早期应用振动排痰机对降低食管癌肺部感染的效果观察

摘要

目的：探讨围手术期早期应用振动排痰机对食管癌患者术后肺部感染发病状况的影响。方法：将2013年1月-2013年12月期间148例食管癌患者进行随机分组。分为干预组（共74例）及对照组（共74例），比较两组患者术后肺部感染的发生情况。结果：比较两组排痰效果显示：肺部感染率为9.46%（14/148），其中干预组为4.05%（3/74），显著低于对照组14.86%（11/74）（P=0.025）。干预组咳嗽持续时间（2.4±1.20）d，显著短于对照组（4.07±3.30）d（P=0.023）。排痰量干预组为（16.1±1.24）ml，显著高于对照组（12.67±1.02）ml（P=0.014）。比较呼吸功能监测指标显示：干预组术后呼吸频率、血氧饱和度、氧合指数、动脉血二氧化碳分压（PaCO2）、临床肺部感染评分（CPIS）均优于对照组，有统计学差异（P＜0.05）。结论：围手术期早期应用振动排痰机排痰，可减少食管癌患者肺部感染的发生。%Objective:To investigate early aPPlication of vibration sPutum discharge machine in the Peri oPeration Period on Pulmonary infection in esoPhageal cancer Patients after oPeration. Methods:All 148 esoPhageal cancer Pa-tients were randomly divided into intervention grouP(74 cases)and control grouP(74 cases)during 2013 January to 2013 December,the incidence of PostoPerative Pulmonary infection were comPared between two grouPs. Results:Total exPectoration of lung infection rate was 9. 46%(14/148),the rate was 4. 05%(3/74)in the intervention grouP, which was significantly lower than the control grouP 14. 86%(11/74)(P=0. 025). The time of cough duration was (2. 4 ± 1. 20)d in intervention grouP,significantly shorter than the control grouP(4. 07 ± 3. 30)d(P=0. 023),and sPutum volume intervention grouP was(16. 1 ± 1. 24)ml,significantly higher than control grouP(12. 67 ± 1. 02)ml (P=0. 014). The resPiratory function monitoring indexes including the intervention grouP after resPiratory rate,oxy-gen saturation,oxygenation index,arterial Partial Pressure of carbon dioxide( PaCO2 ),and the clinical Pulmonary in-fection score(CPIS)were better than the control grouP,there were all statistically significant difference(P<0. 05). Conclusion:Early aPPlication of vibration sPutum discharge machine during the Peri oPeration Period can reduce the incidence of Pulmonary infection in esoPhageal cancer Patients.