摘要
目的分析重症颅脑损伤并发肺部感染,观察早期物理治疗效果。方法选择颅脑损伤并发肺部感染患者作为研究对象,进行细菌学分析,并随机分为观察组和对照组;观察治疗效果、呼吸功能和神经功能。结果共检出病原体45株,其中细菌35株占77.78%,支原体属6株占13.33%,病毒4株占8.89%;观察组治疗总有效率94.29%、血氧饱和度(96.3±10.32)%、动脉血氧分压(94.18±10.38)mm Hg,明显高于对照组,呼吸恢复平稳时间(1.89±0.24)d、X线征象消失时间(6.92±0.82)h、肺部啰音消失时间(5.23±0.62)d明显低于对照组。结论重症颅脑损伤合并多种病原菌同时感染,早期物理治疗能够促进呼吸功能和神经功能的恢复,对于颅脑损伤并发肺部感染具有积极的临床价值。
OBJECTIVE To analyze the severe craniocerebral injury complicated by pulmonary infections and observe the effect of early physical therapy. METHODS The craniocerebral injury patients complicated with pulmonary infections were collected for study objects, and the bacteriology was analyzed; the study objects were randomly divided into the observation group and the control group; the curative effect, respiratory function, and nerve function were observed. RESULTS Totally 45 strains of pathogenic bacteria were detected, including 35 （77.78 %） strains of bacteria, 6 （13.33%） strains of Mycoplasma, and 4 （8.89%） strains of viruses; in the observation group the total effective rate was 94.29%, oxygen saturation（96.3 ± 10.32） %, arterial partial pressure of oxygen （94.18 ± 10.38）mmHg, which were obviously higher than those of the control group; the time of recovery of stationary respiratory was （1.89±0.24）d, time of disappearance of X-ray signs （6.92±0.82）h, time of disap-pearance of pulmonary rales （5. 23±0. 62）d, which were significantly lower than those of the control group. CONCLUSION For the severe craniocerebral trauma patients complicated with infections caused by a variety of pathogenic bacteria, the early physical therapy can contribute to the recovery of the respiratory function and nerve function and has positive clinical value in the treatment of craniocerebral trauma complicated with pulmonary infec-tions.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第11期2622-2624,共3页
Chinese Journal of Nosocomiology
关键词
颅脑损伤
肺部感染
物理治疗
细菌学
Brain injury
Pulmonary infection
Physical therapy
Bacteriology
