早期康复治疗对老年重症肺炎机械通气患者的影响

Effect of Early Rehabilitation Treatment on Mechanically Ventilated Elderly Patients with Severe Pneumonia

目的研究早期康复治疗对老年重症肺炎机械通气患者的影响。方法随机抽取2021年6月—2023年6月本院重症医学科收治的老年重症肺炎机械通气患者116例开展分组研究,采用奇偶数字法进行分组,对照组(n=58)实施常规治疗,研究组(n=58)以常规治疗为基础联合实施早期康复治疗,观察两组脱机情况、康复进程以及并发症情况。结果治疗后,研究组4周内的脱机成功率高于对照组(P<0.05);研究组机械通气时间、ICU入住时间及住院时间短于对照组(P<0.05);研究组并发症发生率低于对照组(P<0.05)。结论对老年重症肺炎的患者开展机械通气治疗时,同时配合早期康复治疗,可有效促进患者病情改善,提升脱机成功率,并发症也明显减少,患者的康复周期大幅缩短,预后改善效果更为理想,值得推广应用。

Objective To study effect of early rehabilitation treatment on mechanically ventilated elderly patients with severe pneumonia.Methods The paper chose 116 elderly patients with severe pneumonia with mechanical ventilation in ICU Department of our hospital from June 2021 to June 2023,and divided them into groups randomly with odd even number method.Control group(n=58)was treated with routine treatment,while study group(n=58)with early rehabilitation treatment based on routine treatment.Offline status,rehabilitation process,and complications between two groups were observed.Results After treatment,success rate of weaning in study group within 4 weeks was higher than control group(P<0.05).Mechanical ventilation,ICU stay,and total length of stay in study group was shorter than control group(P<0.05).Incidence of complications was lower in study group was lower than control group(P<0.05).Conclusion Early rehabilitation treatment can shorten offline time,reduce complications,and accelerate disease progression of elderly patients with severe pneumonia during mechanical ventilation treatment significantly,which has ideal treatment outcomes.