早期康复治疗在老年重症肺炎患者中的应用及对预后和并发症的影响

Application of Early Rehabilitation Therapy in Elderly Patients with Severe Pneumonia and Its Impact on Prognosis and Complications

目的 探讨早期康复治疗在老年重症肺炎患者中的应用效果。方法 86例老年重症肺炎患者随机分为两组,对照组采用常规对症治疗,观察组在对照组基础上给予早期康复治疗,比较两组的肺功能、预后以及并发症。结果 治疗后,观察组的FEV_(1)、 FVC、 FEV_(1)%水平均高于对照组(P<0.05)。观察组的机械通气时间、 ICU住院时间、总住院时间均短于对照组,拔管失败率、并发症发生率均低于对照组(P<0.05)。结论 早期康复治疗有助于改善老年重症肺炎患者的肺功能,降低并发症发生风险。

Objective To explore the application effect of early rehabilitation therapy in elderly patients with severe pneumonia.Methods 86 elderly patients with severe pneumonia were randomly divided into two groups.The control group was treated with conventional symptomatic therapy,and the observation group was given early rehabilitation therapy on the basis of the control group.The lung function,prognosis and complications were compared between the two groups.Results After treatment,the levels of FEV_(1),FVC and FEV_(1)% in the observation group were higher than those in the control group(P<0.05).The mechanical ventilation time,ICU hospitalization time and total hospitalization time in the observation group were shorter than those in the control group,and the extubation failure rate and incidence of complications were lower than those in the control group(P<0.05).Conclusions Early rehabilitation therapy can help improve the lung function of elderly patients with severe pneumonia and reduce the occurrence risk of complications.