机械通气患者早期肺康复治疗的临床观察

被引：46

作者：

吴淼 ^{[1
]}

倪朝民 ^{[1
,2
]}

吴鸣 ^{[2
]}

董晓荷 ^{[2
]}

曾林芳 ^{[2
]}

黄丽红 ^{[2
]}

郑月月 ^{[2
]}

机构：

[1] 安徽医科大学附属省立医院康复医学科

[2] 中国科学技术大学附属第一医院

来源：

中国康复医学杂志 | 2018年 / 33卷 / 07期

关键词：

肺康复; 机械通气; ICU; 撤机;

D O I：

暂无

中图分类号：

R493 [医学康复（康复疗法）];

学科分类号：

100232 [康复医学];

摘要：

目的:将早期肺康复治疗应用于机械通气72h内的重症患者,观察其对呼吸机的撤离、呼吸机相关肺炎(ventilator associated pneumonia,VAP)发生率、肺部感染严重程度及重症监护病房(intensive care unit,ICU)住院时间的影响。方法:本研究是一项单中心、观察性、评估者盲法实验,筛选符合研究条件的82例患者,分为试验组和对照组,每组各41例,两组患者均给予ICU常规治疗,试验组患者在常规治疗基础上进行早期肺康复治疗。比较两组患者撤机成功率、VAP发生率、急性生理与慢性健康状况评分Ⅱ(acute physiology and chronic health evaluation,APACHEⅡ)、临床肺部感染评分(clinical pulmonary infection score,CPIS)、机械通气时间、ICU住院时间。结果:两组患者的年龄、性别、诊断及治疗前的APACHEⅡ评分、CPIS评分差异均无显著性意义(P>0.05)。试验组患者的撤机成功率(87.80%)较对照组显著提高,而VAP发生率(14.63%)明显低于对照组,机械通气时间(6.90±4.61D)和ICU住院时间(12.34±7.23D)较对照组显著缩短(P<0.05),治疗后试验组CPIS评分明显低于对照组(P<0.05),差异有显著性意义(P<0.05)。结论:早期肺康复治疗可以提高撤机成功率,降低VAP发生率,减轻肺部感染,缩短机械通气持续时间和ICU住院时间。

引用

收藏

页码：806 / 811

页数：6

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