|
|
Application effects of combined with Pulmicort aerosol inhalation in prevention pulmonary infection after hypertensive cerebral hemorrhage operation at perioperative period |
LI Jie LONG Xiao-ao▲ LI Li-qiu LIN Heng |
Department of Neurosurgery,Hospital Affiliated to Guangdong Medical University,Guangdong Province,Zhanjiang 524000,China |
|
|
Abstract Objective To observe the effects of combined with Pulmicort aerosol inhalation in prevention pulmonary infection at perioperative period of hypertensive cerebral hemorrhage,and to further explore the clinical effects of Pulmicort in prevention pulmonary infection.Methods 128 hypertensive cerebral hemorrhage patients who needed to craniotomy for removal of hematoma from January 2013 to June 2016 were selected and divided into the treatment group and the control group.68 patients in the treatment group were used Pulmicort 2 mg combined with Ambroxol Hydrochloride 30 mg aerosol inhalation for 3 times a day from hospitalized to 10 days after operation,60 patients in the control group were used Ambroxol Hydrochloride 30 mg aerosol inhalation for 3 times a day.The level of PaCO2,PaO2,OI and pulmonary infection situation at 1st,5thand 10thdays postoperative in the two groups were compared.Results The level of PaCO2,PaO2and OI in the treatment group at 5thand 10thdays after operation were improved than those in the control group,and the difference was statistical significance(P<0.05).The incidence rate of postoperative pulmonary infection in the treatment group was 38%,which was lower than that in control group (58%),with significant difference(P<0.05). Conclusion Pulmicort combined with Ambroxol Hydrochloride aerosol inhalation at perioperative period of hypertensive cerebral hemorrhage can prevent pulmonary infection effectively by enhancing PaO2and decreasing PaCO2,improving oxygenation of organs and tissues.
|
|
|
|
|
[1] |
Krafft PR,Bailey EL,Lekic T,et al.Etiology of stroke and choice of models[J].Int J Stroke,2012,7(5):398-406.
|
[6] |
贾娜,韩杰.卒中相关性肺炎危险因素研究[J].中风与神经疾病杂志,2009,26(5):611-613.
|
[7] |
姬卫东,方岩,王经忠,等.老年脑出血急性期患者并发下呼吸道感染的临床特点分析[J].中国实用神经疾病杂志,2014,17(10):30-31.
|
[9] |
马国胜,彭彩丽.急性重症脑血管病死亡风险的多因素分析及预测[J].中华老年心血管病杂志,2013,5(5):540-541.
|
[10] |
李焕琼.不同剂量普米克令舒炼化异丙托溴铵治疗毛细血管支气管炎的疗效观察[J].中国当代医药,2012,19(18):85-86.
|
[2] |
Ulm L,Ohlraun S,Harms H,et al.Stroke adverse outcome is associated with nosocomial infections(STRAWINSKI):procalcitonin ultrasensitive-guided antibacterial therapy in severe ischaemic stroke patients-rationale and protocol for a randomized controlled trial[J].Int J Stroke,2013,8(7):598-603.
|
[3] |
Thilo F,Suess O,Liu Y,et al.Decreased expression transient receptor potential channels in cerebral vascular tissue from patients after hypertensive intracerebral hemorrhage[J].Clin Exp Hypertens,2011,33(8):533-537.
|
[4] |
Rajanandh MG,Nageswari AD,Ilango K.Assessment of various second-line medications in addition to indaled corticosteroid in asthma patients:a randomized controlled trial[J]. Clin Exp Pharmacol Physiol,2014,41(7):509-513.
|
[5] |
Niederman MS,Mandell LA,Anzueto A,et al.Guidelines for the management of adults with community-acquired pneumonia.Diagnosis,assessmentofseverity,antimicrobialtherapy,and prevention[J].Am J Respir Crit Care Med,2001,163(7):1730-1754.
|
[8] |
Yeh SJ,Huang KY,Wang TG,et al.Dysphagia screening decreases pneumonia in acute stroke patients admitted to the stroke intensive care unit[J].J Neurol Sci,2011,30(6):38-41.
|
[11] |
Woods JA,Wheeler JS,Finch CK,et al.Corticosteroids in the treatment of acyte exacerbations of chronicobstructive pulmonary disease[J].Int J Chron Obstruct Pulmon Dis,2014,9(1):421-430.
|
[12] |
陈霞,林星宇,刘沫.老年非小细胞肺癌手术前后应用普米克令舒及沐舒坦雾化吸入的临床观察[J].东南大学学报(医学版),2013,32(5):594-598.
|
[13] |
Kollef MH.Ventilator-associated tracheobronchitis and ventilator-associated pneumonia:truth vs myth[J].Chest,2013,144(1):3-5.
|
[14] |
汪俊,兰艳丽,程德云.普米克令舒联合博利康尼治疗成人喘息性发作的疗效观察[J].现代预防医学,2005,32(7):833-834.
|
|
|
|