基于量化评估策略框架的分阶段康复训练在ICU重症肺炎机械通气患者中的应用

Application of Staged Rehabilitation Training Based on Quantitative Assessment Strategy Framework in ICU Patients with Severe Pneumonia Mechanically Ventilated

目的:探讨基于量化评估策略框架的分阶段康复训练在ICU重症肺炎机械通气患者中的应用效果。方法:使用随机数字表法将2019年7月-2021年7月阳江市人民医院ICU收治的80例重症肺炎机械通气患者分为对照组和观察组,各40例。对照组采用常规康复训练,观察组采用基于量化评估策略框架的分阶段康复训练。对比两组的康复效果、呼吸功能、运动功能、并发症发生情况。结果:观察组的ICU入住时间、机械通气时间短于对照组,肠内营养达标时间早于对照组(P<0.05);观察组干预后的第1秒用力呼气量(FEV_(1))、FEV_(1)/用力肺活量(FVC)、呼气流量峰值(PEF)均高于对照组,呼吸困难评分量表(MRC)评分低于对照组(P<0.05);观察组干预后的运动功能评级优于对照组(P<0.05);观察组的并发症总发生率为7.50%,低于对照组的25.00%(P<0.05)。结论:基于量化评估策略框架的分阶段康复训练能够促进ICU重症肺炎机械通气患者的康复,改善患者的呼吸功能,提高运动能力,降低并发症发生风险,值得应用。

Objective:To explore the application effect of staged rehabilitation training based on quantitative assessment strategy framework in ICU patients with severe pneumonia mechanically ventilated.Method:Using the random number table method,80 patients with severe pneumonia mechanically ventilated in ICU of Yangjiang People’s Hospital from July 2019 to July 2021 were divided into the control group and the observation group,each with 40 cases.The control group used conventional rehabilitation training,and the observation group used staged rehabilitation training based on quantitative evaluation strategy framework.The rehabilitation effect,respiratory function,motor function and complications of the two groups were compared.Result:The ICU admission time and mechanical ventilation time in the observation group were shorter than those in the control group,and the time for enteral nutrition reaching the standard was earlier than that in the control group(P<0.05).The forced expiratory volume in first second(FEV_(1)),FEV_(1)/forced vital capacity(FVC)and peak expiratory flow(PEF)values in the observation group after intervention were higher than those in the control group,and the dyspnea score scale(MRC)scores was lower than that in the control group(P<0.05).The motor function rating of the observation group after intervention was better than that of the control group(P<0.05).The total incidence of complications in the observation group was 7.50%,which was lower than 25.00%in the control group(P<0.05).Conclusion:The staged rehabilitation training based on quantitative assessment strategy framework can promote the rehabilitation of patients with severe pneumonia mechanically ventilated in the ICU,improve the patients’respiratory function,improve motor function,and reduce the risk of complications.It is worthy of application.