首页|主动呼吸循环训练辅助无创呼吸机治疗对肺心病伴呼吸衰竭患者症状缓解时间、肺功能的影响

主动呼吸循环训练辅助无创呼吸机治疗对肺心病伴呼吸衰竭患者症状缓解时间、肺功能的影响

扫码查看
目的 探讨主动呼吸循环训练辅助无创呼吸机治疗对肺心病伴呼吸衰竭患者症状缓解时间、肺功能的影响.方法 选取2020年10月—2023年10月菏泽市定陶区中医医院收治的82例肺心病伴呼吸衰竭患者为研究对象,按随机数字表法将其分为对照组与观察组,每组41例.对照组采用无创呼吸机治疗,观察组在对照组基础上采用主动呼吸循环训练治疗.对比两组血气分析指标、症状缓解时间、肺功能、心功能.结果 观察组剧烈咳嗽、胸闷心悸及呼吸困难症状缓解时间均短于对照组,组间差异有统计学意义(P<0.05).干预后,两组动脉血氧分压(PaO2)水平均高于干预前,动脉血二氧化碳分压(PaCO2)水平均低于干预前,且观察组PaO2水平高于对照组,PaCO2水平低于对照组,差异有统计学意义(P<0.05);两组第1秒用力呼气容积(FEV1)、呼气峰值流速(PEF)、用力肺活量(FVC)均大于干预前,且观察组FEV1、PEF、FVC均大于对照组,差异有统计学意义(P<0.05);两组左室射血分数(LVEF)均高于干预前,且观察组LVEF高于对照组,差异有统计学意义(P<0.05).结论 主动呼吸循环训练辅助无创呼吸机治疗肺心病伴呼吸衰竭患者,能够改善血气分析,加速症状缓解,增强肺功能及心功能.
Effect of Active Respiratory Cycle Training Assisted Non-Invasive Ventilator Therapy on Symptom Remission Time and Lung Function in Patients with Pulmonary Heart Disease and Respiratory Failure
Objective To investigate the effect of active respiratory cycle training assisted non-invasive ventilator therapy on symptom remission time and lung function in patients with pulmonary heart disease and respiratory failure. Methods A total of 82 patients with pulmonary heart disease and respiratory failure treated in Dingtao District Hospital of Traditional Chinese Medicine of Heze City from October 2020 to October 2023 were selected as research objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group. The control group was treated with non-invasive ventilator,and the observation group was treated with active breathing cycle training on the basis of the control group. The blood gas analysis indexes,symptom remission time,lung function and heart function were compared between the two groups. Results The relief time of severe cough,chest tightness,palpitation and dyspnea in the observation group were shorter than those in the control group,and the differences between groups were statistically significant (P<0.05). After intervention,the level of arterial partial pressure of oxygen (PaO2) was higher than before intervention,and the level of arterial partial pressure of carbon dioxide (PaCO2) was lower than before intervention,and the level of PaO2 in the observation group was higher than that in the control group,and the level of PaCO2 was lower than that in the control group,with statistical significance (P<0.05);the forced expiratory volume in one second (FEV1),peak expiratory flow rate (PEF) and forced vital capacity (FVC) of the two groups were greater than before intervention,and FEV1,PEF and FVC of the observation group were greater than those of the control group,the differences were statistically significant (P<0.05);the left ventricular ejection fraction (LVEF) in both groups was higher than before intervention,and LVEF in observation group was higher than that of the control group,the differences were statistically significant (P<0.05). Conclusion Active breathing cycle training assisted non-invasive ventilator can improve blood gas analysis,accelerate symptom relief,and enhance lung and heart function in patients with pulmonary heart disease and respiratory failure.

Pulmonary heart diseaseRespiratory failureActive breathing cycle trainingNon-invasive ventilatorSymptom remission timeLung function

刘静

展开 >

菏泽市定陶区中医医院内科,山东菏泽 274100

肺心病 呼吸衰竭 主动呼吸循环训练 无创呼吸机 症状缓解时间 肺功能

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(18)