早期肺康复训练对有创机械通气重症肺炎患者的影响

Early Pulmonary Rehabilitation Training on the Impact of Mechanical Ventilation in Patients with severe Pneumonia

目的分析在有创机械通气重症肺炎患者中心早期肺康复训练的有效性。方法选2014年9月—2017年9月在该院行有创机械通气治疗的重症肺炎患者88例,依据康复方式不同分成常规组与早期康复组,每一组44例,常规组采取常规训练方式,早期康复组主要进行运动训练与呼吸训练,对比康复训练的效果。结果康复训练以后,两组患者的呼吸频率、呼吸困难评分,步行6 min距离以及生活质量评分均发生显著改善,早期康复组改善幅度比较大,数值与常规组相比差异有统计学意义(P<0.05);常规组中APACHEⅡ评分、ICU住院的时间、气管插管的留置时间、吸痰次数、血清蛋白与早期康复组相比,差异有统计学意义(P<0.05)。结论在有创机械通气重症肺炎患者中心早期肺康复训练能够改善患者各项指标,值得应用。

Objective To analyze the effectiveness of a center in mechanically ventilated patients with severe pneumonia in the early pulmonary rehabilitation training. Methods From September 2014 to September 2017 in our hospital of 88 patients with severe pneumonia treated by mechanical ventilation were divided into the conventional group in different ways according to the rehabilitation and early rehabilitation group, each group in 44 cases, the conventional group received routine training, early rehabilitation group mainly for exercise and respiratory training, comparing the effect of rehabilitation training. Results After rehabilitation training, respiratory rate of the two groups of patients, dyspnea score,6 minutes walking distance and quality of life were significantly improved both,Early rehabilitation group improved drastically, the numerical and the conventional group with significant difference(P<0.05); APACHE II in conventional group ICU score, hospitalization time, indwelling time of tracheal intubation, the number of sputum suction compared to serum protein and early rehabilitation group, have significant numerical differences, the comparison between the two groups showed significantly difference(P<0.05). Conclusion It is worth of application in a center of mechanical ventilation in patients with severe pneumonia in early stage of pulmonary rehabilitation training can improve the indicators of patients.