Application effects of neuromuscular electrical stimulation combined with advanced early lung function exercise in patients with acute respiratory distress syndrome
Objective:To observe application effects of neuromuscular electrical stimulation combined with advanced early lung function exercise in patients with acute respiratory distress syndrome(ARDS).Methods:A prospective study was conducted on 88 patients with ARDS admitted to this hospital from January 2021 to January 2023.They were divided into control group and observation group according to the random number table method,44 cases in each group.Both groups received routine treatment.On this basis,the control group was treated with advanced early lung function exercise,while the observation group was treated with neuromuscular electrical stimulation on the basis of the control group.The rehabilitation time[mechanical ventilation time,intubation time,intensive care unit(ICU)time],the oxygenation index and the diaphragm thickening rate before and after the treatment,the lung function index[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),peak expiratory flow(PEF)]levels,the incidence of ICU acquired myasthenia,and the weaning success rate were compared between the two groups.Results:The mechanical ventilation time and the ICU time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the oxygenation index and diaphragm thickening rate of the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The FEV1,FVC and PEF in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of ICU acquired myasthenia in the observation group was 9.09%(4/44),which was lower than 27.27%(12/44)of the control group;the weaning success rate was 95.45%(42/44),which was higher than 27.27%(12/44)of the control group;and the differences were statistically significant(P<0.05).Conclusions:Neuromuscular electrical stimulation combined with advanced early lung function exercise in the treatment of the ARDS patients can shorten the recovery time,improve the oxygenation index and lung function,increase the diaphragm thickening rate and the weaning success rate,and reduce the incidence of ICU acquired myasthenia.Moreover,it is superior to single advanced early lung exercise.
Neuromuscular electrical stimulationAdvanced early lung function exerciseAcute respiratory distress syndromeLung functionOxygenation indexDiaphragm
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