早期分阶段肺康复锻炼技术应用于脑卒中气管切开患者的临床效果

Clinical Effect of Early Staged Pulmonary Rehabilitation Exercise Technique Applied to Stroke Patients with Tracheotomy

目的研究早期分阶段肺康复锻炼技术应用于脑卒中气管切开患者的效果.方法选择该院2017年10月—2020年10月收治的脑卒中气管切开患者64例为研究对象,按随机数字表法分为两组,每组32例.两组患者均采取常规对症治疗,研究组在此基础上加用早期分阶段肺康复锻炼技术.观察两组不同治疗时间的氧合指数、机械通气、带管、ICU入住时间、并发症及死亡率.结果两组入院后、治疗第1天的氧合指数比较,组间差异无统计学意义(P>0.05);治疗第3、7、14天,研究组的氧合指数均高于对照组,组间差异有统计学意义(P<0.05).研究组的机械通气时间、带管时间、ICU入住时间均短于对照组,组间差异有统计学意义(P<0.05).研究组的并发症总发生率15.63%、死亡率3.13%均低于对照组的40.63%、21.88%,组间差异有统计学意义(P<0.05).结论脑卒中气管切开患者采取早期分阶段肺康复锻炼,能够提升氧合指数,降低并发症发生率,患者通气带管时间缩短,临床死亡率降低,预后理想,值得应用.

Objective To study the effect of early staged pulmonary rehabilitation exercise technology applied to stroke patients with tracheotomy.Methods 64 cases of stroke tracheotomy patients admitted to the hospital from October 2017 to October 2020 were selected for the study and divided into two groups according to the random number table method,with 32 cases in each group.Both groups of patients were treated with conventional symptomatic treatment,and the research group added early staged pulmonary rehabilitation exercise techniques on this basis.Observe the oxygenation index at different treatment times,mechanical ventilation,catheterization,ICU stay time,complications and mortality of the two groups.Results The oxygenation index of the two groups were compared on the first day of treatment and after admission,and there was no significant difference between the groups(P>0.05);on the 3rd,7th,and 14th day of treatment,the oxygenation index of the study group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The study group's mechanical ventilation time,tube time,and ICU stay time were shorter than those of the control group,and the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the study group was 15.63%and the mortality rate was 3.13%,which were lower than 40.63%and 21.88%in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Early staged pulmonary rehabilitation exercises for stroke patients with tracheotomy can increase the oxygenation index,reduce the incidence of complications,shorten the ventilation time of patients,reduce clinical mortality,and have an ideal prognosis.It is worthy of application.