摘要
目的:探讨呼吸康复干预在机械通气慢性阻塞性肺疾病急性加重期(AECOPD)中的应用价值。方法:选取南阳市第一人民医院收治的86例AECOPD患者作为研究对象,按随机数表法分为观察组44例与对照组42例。对照组患者进行常规护理干预,观察组患者在其基础上进行呼吸康复干预。比较两组患者机械通气时间、入住重症监护病房(ICU)时间、脱机后住院时间、一次性脱机成功率的差异,比较护理干预前与干预2个月时肺功能指标、生活质量变化。结果:实施护理干预措施后,观察组患者机械通气时间、入住ICU时间、脱机后住院时间分别为(10.13±2.89)d、(14.57±3.24)d、(4.33±2.21) d,明显短于对照组患者;一次性脱机成功率为97.18%,显著高于对照组患者,差异有统计学意义(t=3.171、2.868、 3.103, P<0.05;χ^(2)=4.834, P<0.05)。护理干预2个月时,观察组患者FEV1%, FEV1/FVC分别为(57.25±9.51)%、(58.12±6.25)%,与干预前相比均有明显升高,且观察组患者明显高于同一时期对照组患者,差异有统计学意义(t=3.464、6.098,P<0.05)。观察组患者呼吸困难指数(mMRC)、慢阻肺生活质量测评表(CAT)在干预后数值分别为(15.13±4.01)分、(2.11±1.04)分,与干预前相比均明显降低,且观察组患者明显低于同一时期对照组患者,差异有统计学意义(t=4.898、3.031,P<0.05)。结论:呼吸康复干预可显著改善机械通气AECOPD患者肺功能,缓解呼吸困难程度,加速康复效率,有助于提高其生活质量。
Objective: To discuss the application value of respiratory rehabilitation intervention in mechanically ventilated acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: A total of 86 AECOPD patients admitted to the hospital were selected as the research objects, and were randomly divided into observation group of 44 cases and control group of42 cases according to the random number table method. The patients in the control group were given routine nursing intervention,and the patients in the observation group were given respiratory rehabilitation intervention on this basis. The differences in mechanical ventilation time, intensive care unit (ICU) admission time, hospital stay after weaning, and one-time weaning success rate were compared between the two groups. The changes of pulmonary function indexes and quality of life before nursing intervention and 2months after intervention were compared. Results: After implementing nursing interventions, the mechanical ventilation time, ICU stay time, and hospital stay after weaning in the observation group were (10.13 ± 2.89) d, (14.57 ± 3.24) d, and (4.33 ± 2.21) d respectively, which were significantly shorter than those in the control group, the one- time weaning success rate was 97.18%which was significantly higher than that of the control group, and the difference was statistically significant (t=3.171, 2.868, 3.103P<0.05, χ^(2)=4.834, P<0.05). After 2 months of nursing intervention, the FEV1% and FEV1/FVC of the observation group were(57.25±9.51)% and (58.12±6.25)%, which were significantly higher than those before the intervention, and the observation group was significantly higher than the control group at the same period, the difference was statistically significant (t=3.464, 6.098, P<0.05)The dyspnea index (m MRC) and COPD quality of life assessment scale (CAT) in the observation group were (15.13±4.01) points and(2.11±1.04) points after the intervention, which were significantly lower than those before the intervention, and the ob
作者
刘典
LIU Dian(Department of Respiratory Intensive Care,Nanyang First People’s Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2022年第17期2116-2119,共4页
Heilongjiang Medical Journal
关键词
慢性阻塞性肺疾病急性加重
呼吸康复干预
机械通气
Acute exacerbation of chronic obstructive pulmonary disease
Respiratory rehabilitation intervention
Mechanical ventilation
