基于肺膨胀训练的呼吸康复干预在呼吸衰竭重症监护患者中的应用效果

Application Effect of Respiratory Rehabilitation Intervention Based on Pulmonary Expansion Training in Intensive Care Patients with Respiratory Failure

目的探讨基于肺膨胀训练的呼吸康复干预在呼吸衰竭重症监护患者中的应用效果。方法选取2021年7月—2022年10月广西壮族自治区荣誉军人康复医院收治的呼吸衰竭重症监护患者85例为研究对象,根据随机数表法将其分为对照组和观察组。对照组(43例)给予常规干预,观察组(42例)在对照组的基础上联合肺膨胀训练的呼吸康复干预,均对两组实施干预至患者离开ICU。对比两组临床相关指标,对比两组干预前后血气情况、血清指标水平、简明健康状况量表评分、两组干预期间并发症发生率和干预有效率。结果与对照组相比较,观察组拔管时间、机械通气时间、肺部啰音改善时间、憋喘改善时间均更短,差异有统计学意义(P<0.05)。相比于干预前,干预后两组动脉血氧分压水平、酸碱度值、简明健康状况量表评分中各项评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组C-反应蛋白、动脉血二氧化碳分压水平、降钙素原水平、白细胞计数在干预后相比于干预前均降低,观察组相对更低,差异有统计学意义(P<0.05);观察组总并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组总干预有效率(95.24%)比对照组总干预有效率(74.42%)高,差异有统计学意义(χ^(2)=7.109,P<0.05)。结论呼吸衰竭重症监护患者接受基于肺膨胀训练的呼吸康复干预,能对患者血气指标水平进行改善,对炎症反应起抑制作用,降低并发症发生风险,有利于患者预后快速康复,使患者干预有效率提升。

Objective To explore the application effect of respiratory rehabilitation intervention based on pulmonary expansion training in intensive care patients with respiratory failure.Methods 85 intensive care patients with respira⁃tory failure admitted to Guangxi Zhuang Autonomous Region Honorable Soldiers Rehabilitation Hospital from July 2021 to October 2022 were selected as the research objects,they were divited into the control group and the observa⁃tion group by method of randomized numerical table.The control group(43 cases)was given conventional intervention,and the observation group(42 patients)were given respiratory rehabilitation intervention combined with pulmonary ex⁃pansion training on the basis of the control group,and both groups were intervened until the patients left the ICU.The blood gas situation,serum index levels,Short Form-36 Health Survey(SF-36)scores in the two groups were com⁃pared,and the rate of complications during the intervention period and the effective rate of the intervention in two groups were compared.Results Compared with the control group,the observation group had shorter extubation time,mechanical ventilation time,lung rales improvement time,and breath-holding improvement time,and the differences were statistically significant(P<0.05).Compared with the pre-intervention period,the arterial oxygen partial pressure level,acid-base value,and all scores in the Short Form-36 Health Survey Score increased in both groups after the in⁃tervention,and the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).C-reactive protein,arterial blood carbon dioxide partial pressure level,procalcitonin level,and white blood cell count were lower in both groups after the intervention compared to before the intervention,and the ob⁃servation group were relatively lower,and the differences were statistically significant(P<0.05).The total complication rate was significantly lower in the observation group than that in the control group,and the difference was statistically significant(P<0.05).The total intervention effectiveness rate in the observation group(95.24%)was higher than the to⁃tal intervention effectiveness rate in the control group(74.42%),and the difference was statistically significant(χ^(2)=7.109,P<0.05).Conclusion Respiratory failure intensive care patients receiving respiratory rehabilitation intervention based on pulmonary expansion training can improve the level of patients'blood gas indexes,inhibit the inflammatory response,reduce the risk of complications,and favor the rapid recovery of patients'prognosis,so that the effective rate of patient intervention is increased.