主动呼吸循环技术对胸部创伤患者肺功能康复的影响

Effect of active respiratory circulation technique on pulmonary function rehabilitation in patients with chest trauma

目的分析主动呼吸循环技术对胸部创伤患者肺功能康复的影响。方法选择2018年1月到2020年9月在我院治疗的70例胸部创伤患者,随机分为观察组36例、对照组34例。对照组给予常规康复训练治疗,观察组给予主动呼吸循环技术治疗。比较两组拔管时间、住院时间、1秒用力呼气容积(FVE_(1))、用力肺活量(FVC)及呼气峰流速(PEF)、呼吸频率、最大通气量及时间通气量、SpO_(2)、PaO_(2)及并发症发生情况。结果观察组拔管时间、住院时间均显著低于对照组(P<0.05);与干预前比较,观察组和对照组FVE_(1)、FVC及PEF检验结果比较无显著差异;干预后,观察组和对照组FVE_(1)、FVC及PEF均随着时间的推移而升高,观察组高于对照组(P<0.05);与干预前比较,两组呼吸频率、最大通气量及时间通气量检验结果比较无显著差异;干预后,两组呼吸频率均随着时间的推移而升降低,观察组低于对照组,最大通气量及时间通气量均随着时间的推移而升高,观察组高于对照组(P<0.05);与干预前比较,观察组和对照组SpO_(2)、PaO_(2)检验结果比较无显著差异;干预后,观察组和对照组SpO_(2)、PaO_(2)均随着时间的推移而升高,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,观察组并发症发生情况显著低于对照组(P<0.05)。结论在胸部创伤患者中应用主动呼吸循环技术效果显著,可有效改善患者肺功能康复。

Objective To analyze the effect of active respiratory circulation technique on pulmonary function rehabilitation in patients with chest trauma.Methods A total of 70 patients with chest trauma who received treatment in our hospital from January 2018 to September 2020 were selected and randomly divided into observation group 36 cases and control group 34 cases.The control group was treated with routine rehabilitation training,and the observation group was treated with active respiratory circulation technique.The extubation time,hospital stay,forced expiratory volume(FVE_(1)),forced vital capacity(FVC),peak expiratory flow rate(PEF),respiratory rate,maximal and temporal ventilatory volume,SpO_(2),PaO_(2) and the incidence of complications were compared between the two groups.Results The extubation time and hospitalization time in observation group were significantly lower than those in control group(P<0.05).There were no significant differences in FVE_(1),FVC and PEF between the observation group and the control group compared with before intervention.After intervention,FVE_(1),FVC and PEF in the observation group and the control group increased over time,and the observation group was higher than the control group(P<0.05).Compared with before intervention,there were no significant differences in respiratory rate,maximum chase volume and time volume between the two groups.After intervention,the respiratory rate of the two groups increased and decreased with time,and the observation group was lower than the control group,the maximum chase volume and time volume increased with time,and the observation group was higher than the control group(P<0.05).Compared with before intervention,SpO_(2) and PaO_(2) test results of observation group and control group showed no significant difference.After intervention,SpO_(2) and PaO_(2) increased over time in the observation group and the control group,and the observation group was higher than the control group(P<0.05).After treatment,the incidence of complications in observation group was significantly lower than that in control group(P<0.05).Conclusion The application of active respiration and circulation technique in patients with chest trauma has significant effect and can effectively improve the rehabilitation of lung function.