早期分阶段综合性肺康复措施在颈髓损伤机械通气患者中的应用研究

Application of early stage of comprehensive lung rehabilitation in patients with mechanical ventilation of cervical spinal cord injury

目的探讨早期分阶段综合性肺康复措施对颈髓损伤需使用机械通气患者的作用。方法选取2015年1至12月收治的颈髓损伤患者作为对照组,采用常规护理措施;选取2016年1至12月收治的颈髓损伤患者作为治疗组,采取早期分阶段综合性肺康复措施。比较两组患者在使用呼吸机时间、总住院时间、肺部感染率的差异。结果对照组使用呼吸机时间为(13.98±11.11)d,治疗组为(7.23±4.94)d,比较差异有统计学意义(P<0.01);对照组总住院时间为(25.10±16.98)d,治疗组为(16.26±6.41)d,比较差异有统计学意义(P<0.05);对照组肺部感染率76.19%,治疗组为52.38%,比较差异有统计学意义(P<0.01)。结论早期分阶段综合性肺康复措施可以缩短颈髓损伤机械通气患者呼吸机使用时间、总住院时间,降低肺部感染率。

Objective To explore the effect of early stage of comprehensive lung rehabilitation on cervical spinal cord injury in patients with mechanical ventilation.Methods The patients with cervical spinal cord injury admitted from January to December2015 were selected as the control group which was treated with routine nursing measures.The patients with cervical spinal cord injury admitted from January to December 2016 were selected as the treatment group,which received early stage lung rehabilitation measures.We compared two groups of patients in the using time of breathing machine,the total length of hospital stay and pulmonary infection rate.Results The duration of mechanical ventilation and hospitalization days in the control group were（13.98±11.11）,（25.10±16.98）d,which were higher than those in treatment group[（7.23±4.94）,（16.26±6.41）d]（P〈0.05）.The infection rates of control group and treatment group were 76.19% and 52.38% respectively,and the difference was significant（P〈0.05）.Conclusion In the early stages comprehensive pulmonary rehabilitation measures for mechanical ventilation in patients with cervical spinal injury can shorten the breathing machine use time and the total hospitalization days,and reduce pulmonary infection rate.