Application of an early pulmonary rehabilitation of traditional Chinese and Western medicine to patients with invasive mechanical ventilation after cerebral hemorrhage surgery
Objective To explore the application effect of an early pulmonary rehabilitation of traditional Chinese and Western medicine to patients with invasive mechanical ventilation after cerebral hemorrhage surgery. Methods Convenience sampling method was used to select 80 patients with invasive mechanical ventilation after cerebral hemorrhage surgery in the neurological intensive care unit(NCU) of a Class Ⅲ Grade A hospital in Deyang from October 2023 to July 2024 as the research object,including 40 patients admitted from October 2023 to February 2024 as the control group,and 40 patients admitted from March 2024 to July 2024 in the experimental group.The control group was given routine pulmonary rehabilitation treatment,and the experimental group was given an early pulmonary rehabilitation of traditional Chinese and Western medicine plus routine pulmonary rehabilitation treatment. Partial pressure of oxygen[p(CO2)],partial pressure of carbon dioxide[p(CO2)],oxygenation index,pneumonia severity index and the Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ),duration of mechanical ventilation,weaning proportion,incidence of ventilator-associated pneumonia(VAP) before and 3,5 and 10 days after the intervention were compared.Results The incidence of VAP and the duration of invasive mechanical ventilation in the experimental group were significantly lower than those in the control group(P<0.05),and the weaning proportion was significantly higher than that in the control group(P<0.05).Before the intervention,there were no significant differences in p(O2),p(CO2),oxygenation index,pneumonia severity index and APACHE Ⅱ score(P>0.05).After intervention,p(O2) and oxygenation index of the experimental group were significantly higher than those of the control group and showed an overall upward trend(P<0.01),and p(CO2) was significantly lower than that of the control group(P<0.01). The differences in p(CO2) (F=3.108,P=0.036) and oxygenation index(F=5.432,P=0.020) between the two groups increased significantly with time.After the intervention,the pneumonia severity index of the experimental group was significantly lower than that of the control group and showed an overall downward trend (P<0.01).The APACHE Ⅱ score of the observation group was significantly higher than that of the control group and showed an overall downward trend(P<0.05).The APACHE Ⅱ score of the two groups(F=15.276,P<0.01) significantly increased with time.Conclusion An early pulmonary rehabilitation of Chinese and Western medicine is beneficial to reduce the incidence of VAP and the duration of invasive mechanical ventilation in patients with invasive mechanical ventilation after cerebral hemorrhage surgery,and improve the probability of successful weaning and the prognosis.
After cerebral hemorrhage surgeryEarly pulmonary rehabilitationInvasive mechanical ventilation
万方数据
维普
