摘要
目的研究早期肺功能康复训练对ICU慢阻肺机械通气患者肺功能、谵妄及呼吸力学指标的影响。方法选取2017年12月至2019年12月我科ICU慢阻肺机械通气患者115例,按照随机数字表法分为对照组(57例)和研究组(58例)。对照组给予机械通气和对症治疗,研究组在对照组的基础上增加早期肺功能康复训练。观察两组患者机械通气指标、谵妄、呼吸力学指标、并发症发生率。结果研究组机械通气时间、ICU住院时间、谵妄持续时间均显著短于对照组(P<0.05),谵妄发生率显著低于对照组(48.28%vs.68.42%,P<0.05)。入ICU 3d末期、出ICU时研究组平台压、平均气道压、气道峰压、呼气阻力、吸气阻力均显著低于对照组(P<0.05),动态顺应性显著高于对照组(P<0.05)。研究组并发症发生率显著低于对照组(6.90%vs.21.05%,P<0.05)。结论早期肺功能康复训练可改善ICU慢阻肺机械通气患者的呼吸力学指标和机械通气指标,促进肺功能恢复,降低谵妄及并发症,可临床推广。
Objective To study the effects of early lung function rehabilitation training on lung function,delirium and respiratory mechanics in patients with ICU COPD patients.Methods From December 2017 to December 2019,115 patients with ICU chronic obstructive pulmonary mechanical ventilation were selected and divided into a control group(57 cases)and a research group(58 cases)according to the random number table method.The control group was given mechanical ventilation and symptomatic treatment,and the research group added early lung function rehabilitation training on the basis of the control group.Observe the mechanical ventilation indexes,delirium,respiratory mechanics indexes and the incidence of complications in the two groups of patients.Results The mechanical ventilation time,ICU hospitalization time,and delirium duration of the research group were significantly shorter than that of the control group(P<0.05),and the incidence of delirium was significantly lower than that of the control group(48.28%vs.68.42%,P<0.05).At the end of 3 days after entering the ICU and at the end of ICU,the plateau pressure,mean airway pressure,peak airway pressure,expiratory resistance,and inspiratory resistance of the research group were significantly lower than that of the control group(P<0.05),and the dynamic compliance was significantly higher than that of the control group(P<0.05).The incidence of complications in the research group was significantly lower than that in the control group(6.90%vs.21.05%,P<0.05).Conclusion Early rehabilitation training for pulmonary function can improve respiratory mechanics indexes and mechanical ventilation indexes of patients with ICU chronic obstructive pulmonary mechanical ventilation,promote lung function recovery,reduce delirium and complications,and can be clinically promoted.
作者
李亚珍
LI Ya-zhen(Department of Critical Care Medicine,Henan Provincial People's Hospital(People's Hospital of Zhengzhou University),Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2021年第6期33-35,共3页
Journal of Rare and Uncommon Diseases
作者简介
第一作者/通讯作者:李亚珍,女,护师,主要研究方向:急危重症谵妄方向。E-mail:piekkfda@163.com。
