首页|基于量化评估策略的分级康复训练对行机械通气治疗的ICU重症肺炎患者康复进程及血气分析指标的影响

基于量化评估策略的分级康复训练对行机械通气治疗的ICU重症肺炎患者康复进程及血气分析指标的影响

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目的 探讨基于量化评估策略的分级康复训练在重症监护病房(ICU)重症肺炎机械通气患者中的应用效果.方法 回顾性分析 2021 年1 月—2023年 11 月于我院ICU收治的 65 例重症肺炎机械通气患者资料,根据不同干预方式将其分为对照组(n=32)与观察组(n=33),对照组行常规干预,观察组行基于量化评估策略的分级康复训练干预.对比两组康复进程、血气分析指标、肺功能及并发症发生情况.结果 观察组机械通气、ICU住院及总住院时间均短于对照组,组间差异有统计学意义(P<0.05);干预 1 周后,观察组动脉氧分压、血氧饱和度均高于对照组,用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)均大于对照组,FEV1/FVC高于对照组,二氧化碳分压低于对照组,并发症发生率为3.03%,低于对照组的 25.00%,组间差异有统计学意义(P<0.05).结论 基于量化评估策略的分级康复训练能改善ICU重症肺炎机械通气患者血气分析指标及肺功能,加快康复进程,减少并发症.
Impact of Graded Rehabilitation Training Based on Quantitative Evaluation Strategy on the Rehabilitation Process and Blood Gas Analysis Indicators of ICU Severe Pneumonia Patients Undergoing Mechanical Ventilation Treatment
Objective To explore the application effect of graded rehabilitation training based on quantitative evaluation strategy on patients with severe pneumonia undergoing mechanical ventilation in intensive care unit(ICU).Methods The data of 65 patients with severe pneumonia undergoing mechanical ventilation admitted to the ICU of our hospital from January 2021 to November 2023 were retrospectively analyzed.According to different intervention methods,the patients were divided into a control group(n=32)and an observation group(n=33).The control group received routine intervention,and the observation group received graded rehabilitation training based on quantitative evaluation strategy.The rehabilitation process,blood gas analysis indexes,lung function and occurrence of complications were compared between the two groups.Results The duration of mechanical ventilation and ICU stay in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).One week after intervention,the arterial oxygen partial pressure and blood oxygen saturation of the observation group were higher than those of the control group,the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1)were greater than those of the control group,the FEV1/FVC was higher than that of the control group,the partial pressure of carbon dioxide was lower than that of the control group,and the incidence of complications was 3.03%,which was lower than 25.00%of the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion Graded rehabilitation training based on quantitative evaluation strategy.can improve the blood gas analysis index and lung function of ICU patients with severe pneumonia undergoing mechanical ventilation,accelerate the rehabilitation process,and reduce complications.

Severe pneumoniaIntensive care unitsMechanical ventilationRehabilitation processBlood gas analysis indicatorsComplications

王娟

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泗水县人民医院重症医学科,山东济宁 273200

重症肺炎 重症监护病房 机械通气 康复进程 血气分析指标 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(16)