摘要
目的探讨直立床预康复训练对ICU气管插管患者撤机效果的影响。方法回顾性分析2022年2月至2024年1月福建中医药大学附属第二人民医院收治的60例气管插管住院患者临床资料,根据其不同干预方法进行分组,将实施常规撤机干预患者30例纳入对照组,将在常规撤机干预基础上实施直立床预康复训练患者30例纳入试验组。比较两组干预前后的超声下膈肌增厚率、血氧饱和度、氧合指数,观察两组呼吸机使用时间、入住ICU时间、撤机后48 h再插管的比例及两组撤机后并发症发生率。结果干预后,试验组超声下膈肌增厚率高于对照组(P<0.05);撤机后,试验组血氧饱和度、氧合指数高于对照组(P<0.05)。试验组呼吸机使用时间、入住ICU时间、撤机后48 h再插管的比例均低于对照组(P<0.05)。试验组撤机后并发症发生率低于对照组(P<0.05)。结论采用直立床预康复训练可增厚患者膈肌,改善肺通气功能,提高血氧饱和度、氧合指数,为成功撤机提供有利条件,进而缩短呼吸机使用时间、入住ICU时间,还可降低撤机后并发症发生率。
Objective To investigate the effect of upright bed pre-rehabilitation training on the withdrawal effect of tracheal intubation patients in ICU.Methods Retrospective analysis from February 2022 to January 2024 Fujian TCM university affiliated to the second people's hospital of 60 endotracheal intubation hospitalized patients clinical data,according to its different intervention methods,will implement conventional intervention 30 patients into the control group,on the basis of conventional intervention vertical bed rehabilitation training patients with 30 patients included in the test group.Compare the ultrasonic diaphragm thickening rate,blood oxygen saturation and oxygenation index before and after intervention in the two groups,observe the time of ventilator use,ICU stay,the proportion of reintubation at 48 h after withdrawal and the incidence of complications after withdrawal in both groups.Results After intervention,the ultrasonographic thickening rate of diaphragm in experimental group was higher than that in control group(P<0.05).After withdrawal,the blood oxygen saturation and oxygenation index of experimental group were higher than those of control group(P<0.05).The number of cases of ventilator use time,ICU stay time and 48 h re-intubation after withdrawal in experimental group were lower than those in control group(P<0.05).The complication rate of experimental group was also lower than that of control group(P<0.05).Conclusions The use of pre-rehabilitation training in upright bed can thicken the diaphragm of patients'muscles,improve lung ventilation function,improve blood oxygen saturation and oxygenation index,provide favorable conditions for successful withdrawal,thus shorten the ventilator use time,ICU stay time,and reduce the incidence of complications after withdrawal.
作者
王园凤
林兰
黄梅英
WANG Yuanfeng;LIN Lan;HUANG Meiying(Department of Critical Care Medicine,The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China)
出处
《中国医药指南》
2024年第25期56-59,共4页
Guide of China Medicine
关键词
重症监护室
气管插管
撤机护理
直立床预康复训练
Intensive care unit
Endotracheal intubation
Machine care
Upright bed pre-rehabilitation training
