肺部超声引导肺康复训练在ICU机械通气患者中的应用
Application of Lung Ultrasound-guided Pulmonary Rehabilitation Training in Patients with Mechanical Ventilation in ICU
熊厚仁 1朱明华 1方明 1何婷 2薛杨 2徐恭霞1
作者信息
- 1. 安徽医科大学第一附属医院重症医学科(安徽合肥 230022)
- 2. 四川大学华西医院重症医学科(四川成都 610041)
- 折叠
摘要
目的 探讨肺部超声引导肺康复训练在ICU机械通气患者中的应用效果.方法 选取2022年7月—2023年12月合肥市某三级甲等医院ICU收治的机械通气患者,采用随机数字表法分为对照组和试验组,对照组实施常规肺康复训练,试验组实施肺部超声引导肺康复训练,比较干预第1、3、5、7天,两组肺部超声评分、氧合指数、膈肌功能、撤机成功率及机械通气时间的差异.结果 试验组48例、对照组46例完成研究.重复测量方差分析结果显示,两组肺部超声评分、氧合指数、膈肌移动度及膈肌厚度变异率的组间效应、时间效应及交互效应有统计学意义(P＜0.05);试验组撤机成功率高于对照组,机械通气时间低于对照组,差异具有统计学意义(P＜0.05).结论 肺部超声引导的肺康复训练方案,能有效改善ICU机械通气患者肺部状况、氧合和膈肌功能,提高撤机成功率,缩短机械通气时间,加快患者康复.
Abstract
Objective To explore the effectiveness of lung ultrasound-guided pulmonary rehabilitation training in ICU patients on mechanical ventilation.Methods Patients on mechanical ventilation admitted to the ICU of a tertiary A-level hospital in Hefei city from July 2022 to December 2023 were selected and randomly divided into a control group and an experimental group using a random number table method.The control group received conventional pulmonary rehabilitation training,while the experimental group underwent lung ultrasound-guided pulmonary rehabilitation training.The differences in lung ultrasound scores,oxygenation index,diaphragm function,weaning success rate,and mechanical ventilation time were compared between the two groups on the 1st,3rd,5th,and 7th days of intervention.Results The study was completed with 48 cases in the experimental group and 46 cases in the control group.Repeated measures ANOVA showed statistically significant intergroup effects,time effects,and interaction effects on lung ultrasound scores,oxygenation index,diaphragm mobility,and diaphragm thickness variability rate(P＜0.05).The weaning success rate was higher in the experimental group than in the control group,and the mechanical ventilation time was shorter,with statistically significant differences(P＜0.05).Conclusions The lung ultrasound-guided pulmonary rehabilitation training program can effectively improve the pulmonary status,oxygenation,and diaphragm function of ICU patients on mechanical ventilation,increase the success rate of weaning,shorten the mechanical ventilation time,and accelerate patient recovery.
关键词
重症监护病房/机械通气/肺康复/肺部超声/护理Key words
Intensive Care Unit/Mechanical Ventilation/Pulmonary Rehabilitation/Lung Ultrasound/Nursing引用本文复制引用
基金项目
2023年安徽省临床医学研究转化专项项目(202304295107020046)
出版年
2024
NETL
NSTL
万方数据