多学科协作干预对ICU机械通气患者肺康复的影响

Effect of multidisciplinary collaborative intervention on pulmonary rehabilitation of patients with mechanical ventilation in ICU

目的探讨多学科协作干预在ICU机械通气患者肺康复中的应用效果。方法选取我院2019年8月至2020年6月ICU收治的88例机械通气患者为研究对象。对照组采取常规康复干预,干预组采取多学科协作的肺康复干预。比较两组患者干预后机械通气时间、脱机成功率、肺功能及并发症的情况。结果干预组干预后机械通气时间明显低于对照组,脱机成功率高于对照组(P<0.05);用力肺活量(FVC)及第1秒末用力呼气容积(FEV1)显著高于对照组(P<0.05);呼吸机相关性肺炎、谵妄及ICU获得性无力等并发症低于对照组(P<0.05)。结论多学科协作干预应用于ICU机械通气患者肺康复中,可有效缩短机械通气时间、提高脱机成功率、改善肺功能、降低并发症发生率,值得临床推广应用。

Objective To explore the application effect of multidisciplinary cooperative intervention in lung rehabilitation of patients with mechanical ventilation in ICU.Methods A total of 88 patients with mechanical ventilation admitted to ICU from August 2019 to June 2020 were conveniently selected as the research objects.The control group received conventional rehabilitation intervention,while the intervention group was given multi-disciplinary cooperative intervention for lung rehabilitation.The mechanical ventilation time,weaning success rate,lung function and complications of the two groups of patients after intervention were compared.Results The mechanical ventilation time was significantly lower in the intervention group than that in the control group,and the weaning success rate was higher than that in the control group(P<0.05).Forced vital capacity and forced expiratory volume in one second(FEV1)were significantly higher in the intervention group than those in the control group(P<0.05).Complications such as ventilator-associated pneumonia,delirium and ICU acquired weakness were lower in the intervention group than those in the control group(P<0.05).Conclusion Multidisciplinary cooperative intervention in lung rehabilitation can effectively shorten the time of mechanical ventilation,improve the success rate of weaning,improve lung function and reduce the incidence of complications of ICU patients with mechanical ventilation,which is worthy of clinical application.