主动呼吸循环技术训练联合系列排痰训练在老年脑卒中患者 气管切开术后合并肺部感染中的康复效果.

ABSTRACT Objective: To observe the rehabilitation effect of active cycle of breathing technique (ACBT) combined with a series of expectoration training in elderly stroke patients with pulmonary infection after tracheotomy. Methods: 63 elderly stroke patients with pulmonary infection after tracheotomy who were hospitalized in Department of Geriatric Medicine of Changsha Third Hospital from May 2020 to February 2022 were selected. The enrolled patients were divided into control group and study group by random number table method, with 31 cases and 32 cases respectively. The control group was given conventional treatment combined with a series of expectoration training, and the study group was combined with ACBT on the basis of the control group. The clinical symptoms, pulmonary function indexes [forced vital capacity (FVC), maximum ventilation volume per minute (MVV) and peak expiratory flow (PEF)], blood gas analysis indexes [partial oxygen pressure (PO2), oxygen saturation (SaO2), partial carbon dioxide pressure (PaCO2)], inflammatory factors [procalcitonin (PCT), C-reactive protein (CRP), interleukin-6 (IL-6)] in the two groups were compared. Results: The daily sputum aspiration times in the study group was less than that in the control group, the infection window control time and extubation time were shorter than those in the control group, and the clinical pulmonary infection score (CPIS) score was lower than that in the control group (P<0.05). 4 weeks after treatment, the FVC, MVV and PEF in the study group were higher than those in the control group (P<0.05). 4 weeks after treatment, PO2 and SaO2 in the study group were higher than those in the control group, while PaCO2 was lower than that in the control group (P<0.05). 4 weeks after treatment, PCT, CRP and IL-6 in the study group were lower than those in the control group (P<0.05). Conclusion: The application of ACBT combined with a series of expectoration training in elderly stroke patients with pulmonary infection after tracheotomy can improve the clinical symptoms, pulmonary function, blood gas analysis index, and the level of inflammatory factors. [ABSTRACT FROM AUTHOR]