The application of beside lung ultrasound in emergency-plus protocol for chest physical therapy in patients with severe pneumonia
10.3760/cma.j.issn.1672-7088.2020.02.013
- VernacularTitle: 改良床旁肺部超声评估方案在重症肺炎机械通气患者胸部物理治疗中的应用
- Author:
Xiaohong HOU
1
;
Weiming LIU
;
Fei DUAN
;
Jing XU
;
Rui HUANG
;
Yuping WANG
Author Information
1. Department of Intensive Care Unit, Shandong Provincial Hospital, Affiliated to Shandong University, Ji′nan 250000, China
- Publication Type:Journal Article
- Keywords:
Ultrasound;
Chest physical therapy;
Mechanical ventilation
- From:
Chinese Journal of Practical Nursing
2020;36(2):146-149
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of chest physical therapy guided by ultrasound in patients with severe pneumonia.
Methods:One hundred patients with mechanical ventilation in the ICU were divided into a control group and a test group according to the occupancy time. The control group was given chest physical therapy according to routine imaging data and pulmonary auscultation. The experimental group was given physical therapy of the chest according to the routine imaging and pulmonary auscultation, also according to the BLUE ultrasound protocol. The mechanical ventilation time, ICU hospitalization time and the drainage capacity of 1 day, 2 days, 4 days, and 7 days after treatment were observed.
Results:The mechanical ventilation time was (7.82±1.38) days and ICU hospitalization time were (10.16±1.88) days in the test group. The mechanical ventilation time was (10.14±1.73) days and ICU hospitalization time were (12.78±2.11) days in the control group. There were significant differences between the two groups (t=7.42, 6.56, P<0.05). There was a significant difference in the ability of spontaneous drainage on the 4th and 7th day after treatment between the two groups (Z=-2.47, -2.52, P<0.05). The sputum ability on the first and second day after treatment were not statistically significant between the two groups (P>0.05).
Conclusions:Pulmonary ultrasound can continuously monitor lung changes. Nurses can perform targeted nursing treatment on the basis of ultrasound.
