Study on the effect of pulmonary lobes surface projection localization combined with pulmonary segment drainage and sputum expectoration technique on airway clearance in patients with aspiration pneumonia
10.3761/j.issn.0254-1769.2025.09.005
- VernacularTitle:肺叶体表投影定位结合肺段引流排痰技术对吸入性肺炎患者气道廓清的效果研究
- Author:
Liou CHEN
1
;
Wenting ZHANG
1
;
Junqi LIU
1
;
Yuncong WANG
1
;
Zhenlin WANG
1
;
Sai QI
1
;
Na YANG
1
Author Information
1. 100053 北京市 首都医科大学宣武医院耳鼻咽喉头颈外科
- Publication Type:Journal Article
- Keywords:
Aspiration Pneumonia;
Airway Clearance Techniques;
Postural Drainage;
Chest Percussion and Vibration;
Lower Cranial Nerve Palsies;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(9):1056-1061
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of lung lobe surface projection localization combined with lung segment drainage sputum technique on airway clearance in patients with aspiration pneumonia,providing a reference for clinical nursing practice.Methods A convenience sampling method was used to select 62 patients with perioperative aspiration pneumonia secondary to brain diseases admitted to a tertiary A hospital in Beijing from May 2022 to October 2024 as the research subjects.A total of 31 patients admitted from August 2023 to October 2024 were assigned to a control group,and 31 patients admitted from May 2022 to July 2023 were assigned to an experimental group.The experimental group received lung lobe surface projection positioning combined with lung segment drainage sputum technique on top of conventional back percussion sputum clearance technique,while the control group received conventional back percussion sputum clearance technique.After the intervention,the differences in oxygenation state,inflammatory test indicators,treatment efficiency,vital signs and frequency of suction coughing between 2 groups were compared.Results After the intervention,the experimental group showed better oxygenation index,frequency of suction coughing,white blood cell count,percentage of neutrophils,procalcitonin levels,interleukin-6 levels,and treatment efficiency compared to those in the control group(P＜0.05).There was no statistically significant difference in heart rate,respiratory rate,and C-reactive protein levels between 2 groups(P＞0.05).Conclusion Lung lobe surface projection positioning combined can effectively promote the patients with aspiration pneumonia of loosening of sputum in the lungs,improve airway clearance efficiency,enhance the patient's pulmonary ventilation and gas exchange capacity,improve oxygenation levels,and reduce systemic inflammatory levels.
