首页|早期分阶段肺康复锻炼联合适应性支持通气对急性呼吸窘迫综合征患者肺功能及血气指标的影响

早期分阶段肺康复锻炼联合适应性支持通气对急性呼吸窘迫综合征患者肺功能及血气指标的影响

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目的 探讨早期分阶段肺康复锻炼联合适应性支持通气(ASV)对急性呼吸窘迫综合征(ARDS)患者肺功能及血气指标的影响.方法 选取2021 年1 月至2023 年2 月我院收治的ARDS患者78 例,按照随机数字表法分为对照组与观察组各39 例,比较两组患者治疗前后的肺功能指标、血气指标、生活质量变化情况和呼吸机通气时间、住院时间、并发症发生情况.结果 与治疗前相比,治疗后两组的深吸气量(IC)、第一秒用力呼气容积(FEV1)的值、FEV1 与用力肺活量的比值(FEV1/FCV)、动脉血氧分压(PaO2)、血氧饱和度(SaO2)、PaO2/FiO2 水平、生活质量评分显著升高,二氧化碳分压(PaCO2)水平显著降低(P<0.05),且观察组的IC、FVC、FEV1/FVC、PaO2、SaO2、PaO2/FiO2 水平、生活质量评分高于对照组,PaCO2 水平低于对照组(P<0.05);观察组呼吸机通气时间、住院时间显著低于对照组(P<0.05),患者并发症总发生率低于对照组(P<0.05).结论 早期分阶段肺康复锻炼联合ASV模式可以改善ARDS患者的肺功能和血气指标,降低并发症的发生率,缩短恢复时间,提高患者的生活质量.
The effect of early staged lung rehabilitation exercise combined with adaptive support ventilation onpulmonary function and blood gas indicators in patients with acute respiratory distress syndrome
Objective To investigate the impacts of early staged lung rehabilitation exercise combined with adaptive support ventilation(ASV)on lung function and blood gas indicators in patients with acute respiratory distress syndrome(ARDS).Methods From January 2021 to February 2023,78 ARDS patients admitted to our hospital were grouped into a control group and an observation group using a random number table method,39 in each group.The changes in lung function indicators,blood gas indicators,quality of life before and after treatment,ventilation time,hospitalization time,and incidence of complications were compared between the two groups.Results Compared with before treatment,the deep inspiratory volume(IC),the value of forced expiratory volume(FEV1)in the first second,the ratio of FEV1 to forced vital capacity(FEV1/FCV),arterial partial pressure of oxygen(PaO2),blood oxygen saturation(SaO2),PaO2/FiO2 level and quality of life score were significantly increased in the two groups after treatment,and the partial pressure of carbon dioxide(PaCO2)was significantly reduced(P<0.05).The IC,FVC,FEV1/FVC,PaO2,The SaO2,PaO2/FiO2 levels and quality of life scores were higher and the PaCO2 levels were lower in the observation group than those in the control group(P<0.05).The ventilation time and hospitalization time of the observation group were obviously shorter than those of control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions Early staged lung rehabilitation exercise combined with ASV mode can improve the lung function and blood gas indicators,reduce the incidence of complications,shorten the recovery time,and improve the quality of life of ARDS patients.

Early staged lung rehabilitation exerciseAdaptive support ventilationAcute respiratory distress syndromeLung function

吴辉、于尚平、周三连、吴霞、丁倩

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江苏省南通市第一人民医院/南通大学第二附属医院EICU,江苏 南通 226001

江苏省南通市第一人民医院/南通大学第二附属医院急诊科,江苏 南通 226001

早期分阶段肺康复锻炼 适应性支持通气 急性呼吸窘迫综合征 肺功能

江苏省科学技术协会调研课题(面上调研课题)

JSKXKT2022048

2024

实用医院临床杂志
四川省医学科学院 四川省人民医院

实用医院临床杂志

CSTPCD
影响因子:1.179
ISSN:1672-6170
年,卷(期):2024.21(2)
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