综合康复干预对重症肺炎患者病情控制、血气指标及肺功能的影响

Effect of comprehensive rehabilitation intervention on disease control,blood gas index and pulmonary function in patients with severe pneumonia

目的 探讨综合康复干预对重症肺炎患者病情控制效果、血气指标及肺功能的影响。方法 选取2022年5月至2023年5月接收的86例重症肺炎患者,按数字随机表法分作2组,每组43例。对照组行常规治疗,观察组在常规治疗基础上予以综合康复干预。比较2组患者的不良事件发生情况、病情控制效果、血气指标及肺功能变化情况。结果 观察组不良事件发生率低于对照组(P<0.05);观察组干预后的临床肺部感染评分、急性生理功能和慢性健康状况评分系统Ⅱ评分均低于对照组(P<0.05);观察组干预后的血氧饱和度、血氧分压高于对照组,二氧化碳分压低于对照组(P<0.05);观察组干预后的第1秒用力呼气容积占预计值百分比、用力肺活量、最大呼气流量高于对照组(P<0.05)。结论 综合康复干预应用于重症肺炎患者中可降低不良事件发生率,有效控制患者病情,进一步改善其血气指标与肺功能。

Objective To explore the effect of comprehensive rehabilitation intervention on disease control,blood gas index and pulmonary function in patients with severe pneumonia.Methods A total of 86 patients with severe pneumonia treated in our hospital from May 2022 to May 2023 were randomly assigned into observation group(n=43)and control group(n=43).All patients were managed by routine intervention,and those in observation group were additionally given comprehensive rehabilitation intervention.The incidence of adverse events,disease control,blood gas index,pulmonary function were included as comparators.Results The incidence of adverse events in the observation group was significantly lower than that in the control group(4.65%vs 3.26%,P<0.05).After intervention,the clinical pulmonary infection score(CPIS),Acute Physiology and Chronic Health EvaluationⅡ(APACHE-Ⅱ)score were significantly lower in the observation group than in the control group(P<0.05).Significantly higher peripheral arterial haemoglobin oxygen saturation(SPaO_(2))and partial pressure of arterial oxygen(PaO_(2)),and lower partial pressure of carbon dioxide(PaCO_(2))were found in observation group than those of control group(all P<0.05).The percentage of forced expiratory volume in the first second after expiration for predicted values(FEV1%pre),forced vital capacity(FVC),peak expiratory flow(PEF)increased notably in the observation group compared to the control group(P<0.05).Conclusion Comprehensive rehabilitation intervention can reduce the incidence of adverse events,effectively control the disease,and further improve blood gas index and pulmonary function in patients with severe pneumonia.