Effect of high-frequency chest wall oscillation combined with bronchoscope lavage in treatment of ischemic stroke associated pneumonia

YUAN Ke; ZHANG Xiaoyan

doi:10.7619/jcmp.20212159

Journal of Clinical Medicine in Practice > 2021 > 25(23): 41-44, 48. > DOI: 10.7619/jcmp.20212159

YUAN Ke, ZHANG Xiaoyan. Effect of high-frequency chest wall oscillation combined with bronchoscope lavage in treatment of ischemic stroke associated pneumonia[J]. Journal of Clinical Medicine in Practice, 2021, 25(23): 41-44, 48. DOI: 10.7619/jcmp.20212159

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Effect of high-frequency chest wall oscillation combined with bronchoscope lavage in treatment of ischemic stroke associated pneumonia

YUAN Ke,
ZHANG Xiaoyan^,

Department of Respiratory Medicine, Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine in Guangdong Province, Zhuhai Second People's Hospital in Guangdong Province, Zhuhai, Guangdong, 519000

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Received Date: May 23, 2021
Available Online: December 20, 2021
Published Date: December 14, 2021

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Abstract

Abstract

Objective To investigate the clinical effect of high-frequency chest wall oscillation (HFCWO) combined with bronchoscopy lavage in treatment of ischemic stroke associated pneumonia.
Methods Sixty patients with ischemic stroke associated pneumonia were randomly divided into observation group and control group, with 30 cases in each group. On basics of the usual treatment, the control group was treated with bronchoscopy lavage, while the observation group was treated with bronchoscopy lavage combined with HFCWO. The curative effect, blood gas index, inflammatory factors, sputum volume, pulmonary infection score (CPIS) and Barthel index (BI) were compared between the two groups.
Results The total effective rate of the observation group was significantly higher than that of the control group (P < 0.05). On the 7th, 14th and 21st day of treatment, arterial partial pressure of oxygen[p_a(O₂)], oxygenation index[p_a(O₂)/FiO₂] and BI scores in observation group were significantly higher than those in the control group, arterial partial pressure of carbon dioxide[p_a(CO₂)], tumor necrosis factor-α (TNF-α), procalcitonin (PCT), C-reactive protein (CRP) and CPIS scores were significantly lower than those in the control group.
Conclusion HFCWO combined with bronchoscopy lavage in the treatment of ischemic stroke associated pneumonia can optimize respiratory tract management, effectively control pulmonary infection and inflammatory response, improve oxygenation index, and enhance clinical efficacy and living ability of patients.
- bronchoscopy lavage,
- chest wall concussion,
- ischemic stroke,
- pneumonia

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