首页|基于信息版改良早期预警评分的早期康复干预在肺癌术后并发重症肺炎患者中的应用效果

基于信息版改良早期预警评分的早期康复干预在肺癌术后并发重症肺炎患者中的应用效果

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目的 探讨基于信息版改良早期预警评分(MEWS)的早期康复干预在肺癌术后并发重症肺炎患者中的应用效果.方法 根据干预方法的不同将86例肺癌术后并发重症肺炎患者分为对照组(n=41,常规干预)和早期组(n=45,基于信息版MEWS的早期康复干预).比较两组患者的机械通气相关指标、病情严重程度(MEWS)、生理健康状况[急性生理学与慢性健康状况评分Ⅱ(APACHE Ⅱ)]、多脏器功能状况[多器官功能障碍综合征(MODS)评分系统]及不良事件发生情况.结果 早期组患者肺炎控制时间和机械通气时间均明显短于对照组,差异均有统计学意义(P<0.01).干预后,两组患者MEWS、APACHEⅡ评分均低于本组干预前,早期组患者MEWS、APACHEⅡ评分均低于对照组,差异均有统计学意义(P<0.05).干预后,两组患者MODS评分系统各维度评分均低于本组干预前,早期组患者MODS评分系统各维度评分均低于对照组,差异均有统计学意义(P<0.05).早期组患者不良事件总发生率低于对照组(P<0.05).结论 基于信息版MEWS的早期康复干预应用于肺癌术后并发重症肺炎患者,可缩短肺炎控制时间和机械通气时间,改善病情、生理健康状况及脏器功能,降低不良事件发生率.
Application effect of early rehabilitation intervention based on information version of modified early warning score in patients with severe pneumonia after lung cancer surgery
Objective To investigate the application effect of early rehabilitation intervention based on information version of modified early warning score(MEWS)in patients with severe pneumonia after lung cancer surgery.Method A total of 86 patients with severe pneumonia after lung cancer surgery were divided into control group(n=41,convention-al intervention)and early group(n=45,early rehabilitation intervention based on information version of MEWS)accord-ing to different intervention methods.The indexes related to mechanical ventilation,severity of disease,physiological health status[acute physiology and chronic health evaluation Ⅱ(APACHEⅡ)],multiple organ function status[multiple or-gan dysfunction syndrome(MODS)scoring system]and adverse events were compared between the two groups.Result The time of pneumonia control and mechanical ventilation in early group were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).After intervention,the MEWS and APACHEⅡ scores in both groups were lower than those before intervention,the MEWS and APACHEⅡ scores in early group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores of MODS scoring system in both groups were lower than those before intervention,and the dimensional scores of MODS scoring system in early group were lower than those in control group,and the differences were statistically signifi-cant(P<0.05).The overall incidence of adverse events in early group was lower than that in control group(P<0.05).Con-clusion Early rehabilitation intervention based on information version of MEWS can shorten the time of pneumonia con-trol and mechanical ventilation in patients with severe pneumonia after lung cancer surgery,improve disease condition,physiological health status and organ function,and reduce the incidence of adverse events.

information version of modified early warning scoreearly rehabilitation interventionlung cancerpneu-moniamechanical ventilation

郑婧、肖曼、亓晓玉、张琳、刘红

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郑州大学第一附属医院呼吸与危重症医学科,郑州 450000

郑州大学第一附属医院介入科,郑州 450000

信息版改良早期预警评分 早期康复干预 肺癌 肺炎 机械通气

河南省科技发展计划项目

222300420565

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(12)