The Effect of Extracorporeal Diaphragm Pacemaker Combined with Electric Standing Bed on Lung Function in Stroke Patients with Mechanical Ventilation
Objective To explore the effect of extracorporeal diaphragmatic pacemaker(EDP)combined with electric standing bed on lung function in stroke patients undergoing mechanical ventilation.Methods A total of 90 severe stroke patients with mechanical ventilation admitted to the neurological intensive care unit of the Second Affiliated Hospital of Nanchang University from April 2022 to October 2023 were selected and divided into a standing bed group,a combination group,and a control group according to the random number table method,with 30 patients in each group.The control group received routine treatment and nursing intervention;the standing bed group received electric standing bed training on the basis of the control group;the combination group received extracorporeal diaphragmatic pacemaker plus electric standing bed training on the basis of the control group.The mechanical ventilation time,oxygen partial pressure(PaO2),carbon dioxide partial pressure(PaCO2),and diaphragmatic mobility after 14 days of treatment were compared among the 3 groups.Results After treatment,the mechanical ventilation time in the combination group was significantly shorter than that in the standing bed group and the control group(both P＜0.001);there was no statistically significant difference in the mechanical ventilation time between the standing bed group and the control group(P＞0.05).The PaO2 in the combination group was significantly higher than that in the standing bed group and the control group,while the PaCO2 was significantly lower than that in the standing bed group and the control group(both P＜0.001).The PaO2 in the standing bed group was higher than that in the control group(P=0.041),but there was no statistically significant difference in PaCO2 between the two groups(P＞0.05).Conclusion The extracorporeal diaphragm pacemaker,when combined with an electric standing bed,may effectively facilitate the recovery of diaphragmatic and pulmonary functions,thereby reducing mechanical ventilation time in stroke patients undergoing mechanical ventilation.
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