| Objective: To observe the influence of active cycle of breathing techniques on stroke patients complicated with pulmonary infection. Methods: A total of 52 patients with stroke complicated with pulmonary infection were randomly divided into observation group and control group, with 26 cases in each group. The patients in the two groups were given conventional clinical treatment. Additionally, the control group was given traditional tapping and sputum elimination training, and the observation group was given active cycle of breathing techniques training. All patients were trained for two weeks. The clinical efficacy of pulmonary infection, the remission time of symptoms and signs, the indicators of infection before and after treatment, the clinical pulmonary infection score (CPIS) and 6 dimensions within the CPIS score (temperature, white blood cell count, tracheal secretions, oxygenation index, X-ray chest radiograph infiltration, trachea from training or sputum culture) were compared between the two groups. Results: After 2-week treatment, the total effective rate of pulmonary infection treatment in the observation group was significantly higher than that in the control group (P<0.05). The duration of cough, sputum and lung moist rale in the observation group was significantly shorter than that in the control group (P<0.05). The indicators of infection (white blood cell count, high sensitivity c-reactive protein), clinical pulmonary infection score, tracheal secretions score and tracheal aspirate culture score or sputum culture score in both groups were significantly improved as compared with those before treatment (all P<0.05), more significantly in the observation group than in the control group (P<0.05). The white blood cell count scores and chest X-ray infiltration evaluation scores of patients in the two groups were significantly improved as compared with those before treatment (P<0.05), but there were no statistically significant differences between the two groups. There was no significant difference in oxygenation index scores between and within the two groups. Conclusion: The application of active cycles of breathing techniques in patients with stroke complicated with pulmonary infection can improve the total effective rate of treatment of pulmonary infection, improve the human inflammatory response, and effectively control the symptoms and signs of pulmonary infection. |
