Objective To study the application effect of early rehabilitation activities on the rehabilitation effect of patients with acute exacerbation of severe chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods A total of 110 patients with acute exacerbation of severe COPD and respiratory failure were selected as cases.The patients were randomly divided into a control group(55 cases)and an observation group(55 cases).The control group received routine rehabilitation intervention,while the observation group received early rehabilitation intervention based on the control group.Patients in both groups were compared in terms of pulmonary function indexes[forced expiratory volume in one second(FEV1)as a percentage of the predicted value,FEV1/forced vital capacity(FVC),FEV1]before and after intervention,treatment time[total hospital stay,mechanical ventilation time,intensive care unit(ICU)stay]and the incidence of complications.Results After intervention,the FEV1 as a percentage of the predicted value of the observation group was(75.85±5.41)%,FEV1/FVC was(77.82±5.14)%,and FEV1 was(2.41±0.41)L,which were higher than(64.52±4.25)%,(65.87±5.11)%,and(1.72±0.20)L of the control group(P<0.05).The mechanical ventilation time,ICU stay and total hospital stay were(16.51±4.15),(20.10±4.52)and(28.41±5.16)d in the observation group,which were shorter than(21.26±4.52),(29.11±7.12)and(38.52±8.14)d in the control group(P<0.05).The complication rate of 9.1%in the observation group was lower than 23.6%in the control group(P<0.05).Conclusion The application of early rehabilitation activities in patients with acute exacerbation of severe COPD and respiratory failure can improve their lung function and quality of life,and avoid complications,which is worthy of clinical promotion and application.
关键词
早期康复活动/急诊/重症慢性阻塞性肺疾病急性加重期/呼吸衰竭
Key words
Early rehabilitation activities/Emergency/Acute exacerbation of severe chronic obstructive pulmonary disease/Respiratory failure
维普
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