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早期分阶段肺康复锻炼在ICU急性呼吸窘迫综合征患者中的应用效果 被引量:1

Application effect of early stage lung rehabilitation exercise in patients with acute respiratory distress syndrome in ICU
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摘要 目的 探讨早期分阶段肺康复锻炼在重症监护病房(ICU)急性呼吸窘迫综合征患者中的应用效果。方法选取2021年3月至2023年3月我院ICU 62例急性呼吸窘迫综合征患者为研究对象,根据干预方法不同将其分为对照组和观察组,每组31例。对照组实施常规干预,观察组在对照组基础上实施早期分阶段肺康复锻炼。比较两组的氧合指数、机械通气时间、带管时间、ICU入住时间、肺功能指标及并发症发生情况。结果 干预前及干预1 d后,两组的氧合指数比较,差异无统计学意义(P>0.05);干预3、7、14 d后,观察组的氧合指数高于对照组,差异具有统计学意义(P<0.05)。观察组的机械通气时间、带管时间和ICU入住时间短于对照组,差异具有统计学意义(P<0.05)。干预前,两组的第1秒用力呼气容积占预计值百分比(FEV_(1)%)、用力肺活量占预计值百分比(FVC%)、第1秒用力呼气容积与用力肺活量的比值(FEV_(1)/FVC)比较,差异无统计学意义(P>0.05);干预7 d后,观察组的FEV_(1)%、FVC%、FEV_(1)/FVC高于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论 早期分阶段肺康复锻炼用于ICU急性呼吸窘迫综合征患者中可提高氧合指数,缩短机械通气时间、ICU入住时间,改善肺功能,降低并发症发生率,值得临床推广和应用。 Objective To explore the application effect of early stage lung rehabilitation exercise in patients with acute respiratory distress syndrome in intensive care unit(ICU).Methods A total of 62 patients with acute respiratory distress syndrome in ICU of our hospital from March 2021 to March 2023 were selected as the research objects.According to different intervention methods,the patients were divided into control group and observation group,with 31 cases in each group.The control group implemented routine intervention,and the observation group implemented early stage lung rehabilitation exercise on the basis of the control group.The oxygenation index,mechanical ventilation time,intubation time,ICU stay time,lung function indexes and occurrence of complications were compared between the two groups.Results There was no significant difference in oxygenation index between the two groups before and 1 d after intervention(P>0.05);at 3,7 and 14 d after intervention,the oxygenation index of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The mechanical ventilation time,intubation time and ICU stay time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in forced expiratory volume in one second as a percentage of expected value(FEV_(1)%),forced vital capacity as a percentage of expected value(FVC%)and ratio of forced expiratory volume in one second to forced vital capacity(FEV_(1)/FVC)between the two groups(P>0.05);after 7 d of intervention,FEV_(1)%,FVC%and FEV_(1)/FVC in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Early stage lung rehabilitation exercise applied in patients with acute respiratory distress syndrome in ICU can improve the oxygenation index,shorten the mechanical ventilation time and ICU stay time,improve the lung function and reduce the incidence of complications, which is worthy of clinical promotion and application.
作者 徐恩平 娄侠儒 许瑞玉 XU Enping;LOU Xiaru;XU Ruiyu(Foshan Fosun Chancheng Hospital,Foshan 528000,China)
出处 《临床医学研究与实践》 2023年第27期57-61,共5页 Clinical Research and Practice
关键词 早期分阶段肺康复锻炼 重症监护病房 急性呼吸窘迫综合征 氧合指数 机械通气时间 early stage lung rehabilitation exercise intensive care unit acute respiratory distress syndrome oxygenation index mechanical ventilation time
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