摘要
Abstract
Objective:To investigate the clinical efficacy of high-frequency oscillatory sputum drainage machine combined with nebulization inhalation in the treatment of hospital-acquired pneumonia(HAP)in elderly hospitalized patients.Method:100 elderly HAP patients admitted to Jinnan Branch of Jinjiang Hospital from January 2022 to January 2024 were randomly divided into control group(n=50)and experimental group(n=50).Both groups received nebulization treatment,and in addition,the control group received conventional sputum drainage treatment,while the experimental group received high-frequency oscillatory sputum drainage machine treatment.The oxygenation index(OI),C-reactive protein(CRP),blood routine[white blood cell count(WBC),neutrophil percentage(NEUT%)],lung function indicators[forced vital capacity(FVC),forced expiratory volume(FEV1)],symptom disappearance time,and acute and chronic health score(APACHE Ⅱ score)were compared between the two groups.Result:The cough cessation time,lung rales disappearance time,and fever duration were shorter,and the daily sputum volume was higher in the experimental group than in the control group,with statistically significant differences(P<0.05).After treatment,CRP,WBC,and NEUT%in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).The FVC,FEV1,and OI in the experimental group were better than those in the control group,with statistically significant differences(P<0.05).The APACHE Ⅱ score in the experimental group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion:The combination of high-frequency oscillatory sputum drainage machine and nebulization inhalation treatment for elderly HAP can achieve significant efficacy,reduce the incidence of complications,and improve the cure rate.关键词
高频震荡排痰/雾化吸入/老年住院患者/获得性肺炎/疗效Key words
High-frequency oscillatory sputum discharge/Atomized inhalation/Elderly inpatients/Acquired pneumonia/Therapeutic effect
