四级早期康复运动对重症肺炎ICU后综合征患者的作用效果

Effects of StageⅣEarly Rehabilitation Exercise in Patients with Severe Pneumonia Post-ICU Syndrome

目的探讨四级早期康复运动对重症肺炎重症监护室(ICU)后综合征患者的作用效果。方法选取2019年4月至2023年6月郑州大学第二附属医院收治的98例重症肺炎ICU后综合征患者,根据随机数字表法分为两组,每组49例。常规护理组接受常规护理,早期康复运动组在常规护理基础上接受四级早期康复运动干预。比较两组干预前、出ICU 5 d后、出院前1 d肺功能、心理弹性、肌力、疲劳及日常生活能力。结果出ICU 5 d后、出院前1 d,早期康复运动组用力肺活量(FVC)、第1秒用力呼气容积/用力肺活量(FEV 1/FVC)、呼吸峰流量(PEF)高于常规护理组(P<0.05);早期康复运动组坚韧、自强、乐观评分、肌力评分、日常生活能力量表评分高于常规护理组,疲劳程度评分低于常规护理组(P<0.05)。结论四级早期康复运动可改善重症肺炎ICU后综合征患者肺功能,降低机体疲劳程度,增强肌力和日常生能能力。

Objective To observe the effect of stageⅣearly rehabilitation exercise in patients with severe pneumonia post-intensive care unit(ICU)syndrome.Methods All 98 patients with severe pneumonia post-ICU syndrome admitted to the Second Affiliated Hospital of Zhengzhou University from April 2019 to June 2023 were selected and divided into two groups by random number table method,with 49 cases in each group.The routine nursing group received routine nursing,the early rehabilitation exercise group received stageⅣearly rehabilitation exercise intervention on the basis of routine nursing.Lung function,mental elasticity,muscle strength,fatigue,and ability to perform activities of daily living before the intervention,after 5 days of discharge from the ICU and before 1 day of discharge from the hospital were compared between the two groups.Results After 5 days of discharge from the ICU and before 1 day of discharge from the hospital,forced vital capacity(FVC),forced expiratory volume in the first second/FVC(FEV 1/FVC),peak expiratory flow rate(PEF)in early rehabilitation exercise group were higher than those in routine nursing group(P<0.05).Tenacity score,self-strengthening score,optimism score,muscle strength score and activity of daily living scale score in early rehabilitation exercise group were higher than those in routine nursing group,the fatigue degree score was lower than that in routine nursing group(P<0.05).Conclusion StageⅣearly rehabilitation exercise can improve lung function,reduces body fatigue,enhances muscle strength and daily vital capacity in patients with severe pneumonia evere pneumonia post-ICU syndrome.