早期分阶段肺康复锻炼联合适应性支持通气对急性呼吸窘迫综合征患者肺功能及血气指标的影响

The effect of early staged lung rehabilitation exercise combined with adaptive support ventilation onpulmonary function and blood gas indicators in patients with acute respiratory distress syndrome

目的探讨早期分阶段肺康复锻炼联合适应性支持通气(ASV)对急性呼吸窘迫综合征(ARDS)患者肺功能及血气指标的影响。方法选取2021年1月至2023年2月我院收治的ARDS患者78例,按照随机数字表法分为对照组与观察组各39例,比较两组患者治疗前后的肺功能指标、血气指标、生活质量变化情况和呼吸机通气时间、住院时间、并发症发生情况。结果与治疗前相比,治疗后两组的深吸气量(IC)、第一秒用力呼气容积(FEV_(1))的值、FEV_(1)与用力肺活量的比值(FEV_(1)/FCV)、动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、PaO_(2)/FiO_(2)水平、生活质量评分显著升高,二氧化碳分压(PaCO_(2))水平显著降低(P<0.05),且观察组的IC、FVC、FEV_(1)/FVC、PaO_(2)、SaO_(2)、PaO_(2)/FiO_(2)水平、生活质量评分高于对照组,PaCO_(2)水平低于对照组(P<0.05);观察组呼吸机通气时间、住院时间显著低于对照组(P<0.05),患者并发症总发生率低于对照组(P<0.05)。结论早期分阶段肺康复锻炼联合ASV模式可以改善ARDS患者的肺功能和血气指标,降低并发症的发生率,缩短恢复时间,提高患者的生活质量。

Objective To investigate the impacts of early staged lung rehabilitation exercise combined with adaptive support ventilation(ASV)on lung function and blood gas indicators in patients with acute respiratory distress syndrome(ARDS).Methods From January 2021 to February 2023,78 ARDS patients admitted to our hospital were grouped into a control group and an observation group using a random number table method,39 in each group.The changes in lung function indicators,blood gas indicators,quality of life before and after treatment,ventilation time,hospitalization time,and incidence of complications were compared between the two groups.Results Compared with before treatment,the deep inspiratory volume(IC),the value of forced expiratory volume(FEV_(1))in the first second,the ratio of FEV_(1)to forced vital capacity(FEV_(1)/FCV),arterial partial pressure of oxygen(PaO_(2)),blood oxygen saturation(SaO_(2)),PaO_(2)/FiO_(2)level and quality of life score were significantly increased in the two groups after treatment,and the partial pressure of carbon dioxide(PaCO_(2))was significantly reduced(P<0.05).The IC,FVC,FEV_(1)/FVC,PaO_(2),The SaO_(2),PaO_(2)/FiO_(2)levels and quality of life scores were higher and the PaCO_(2)levels were lower in the observation group than those in the control group(P<0.05).The ventilation time and hospitalization time of the observation group were obviously shorter than those of control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions Early staged lung rehabilitation exercise combined with ASV mode can improve the lung function and blood gas indicators,reduce the incidence of complications,shorten the recovery time,and improve the quality of life of ARDS patients.