Application of chest physiotherapy bundle management in patients with severe abdominal infection

Objective To explore the application of chest physiotherapy bundle management in patients with severe abdominal infection.Methods Totally 120 ICU patients with severe abdominal infection were divided into two groups.The patients in the experimental group received chest physiotherapy bundle management,including three-step half-closed lip breathing,four-step effective cough,five-step back-slap and six-step nebulization.The patients in the control group received routine respiratory care.The heart rate,blood pressure,oxygen saturation(SpO2),respiratory rate and autonomous expectoration capacity at 24h,48h and 168h were recorded.Moreover,the incidences of atelectasis,pulmonary infection and trachea intubation at 48h and 168h were recorded.Results The patients’ autonomous expectoration capacity at 168h in the experimental group was significantly better than that in the control group(P0.05).The heart rate,SpO2 and respiratory rate at 24h,48h and 168h in the experimental group were significantly better than that in the control group(P0.05 or P0.01).Moreover,the incidences of atelectasis,pulmonary infection and tracheal intubation in the experinebtal group were significantly lower than those in the control group(P0.05).Conclusion The application of chest physiotherapy bundle management can improve the level of SpO2 and autonomous expectoration capacity,reduce the incidence of atelectasis,intubation and pulmonary infection.