主动呼吸循环技术对机械通气患者肺功能及生活质量的影响  

Effects of active cycle of breathing techniques on the respiratory function and quality of life in patients undergoing mechanical ventilation

作　　者：吴娇华[1] 梁金清[1] 黄华琼[1] 

机构地区：[1]广西医科大学第一附属医院EICU,南宁530021

出　　处：《中华现代护理杂志》2014年第8期894-896,共3页Chinese Journal of Modern Nursing

基　　金：广西卫生厅自筹经费课题（22010391）

摘　　要：目的探讨主动呼吸循环技术对机械通气患者肺功能和生活质量的影响。方法采用随机数字表法将呼吸衰竭机械通气治疗后间断撤机期间的65例患者分为两组，观察组35例进行主动呼吸循环技术功能锻炼，对照组30例进行常规护理，比较两组间完全撤机后第1天和第3天主要生理指标、呼吸功能，采用Barrel指数记分法评估患者体能恢复情况和生活质量。结果观察组平均撤机时间为（24．0±8．9）h，撤机成功率为77．1％，明显优于对照组的（75．0±6．7）h及53．3％，两组比较差异有统计学意义（t值分别为2．73，6．92；P〈0．05）。两组患者完全撤机后第1天日常生活能力（ADL）评分比较差异无统计学意义（P〉0．05），第3天对照组ADL评分为（25．5±2．5）分，观察组为（55．0±5．5）分，两组比较差异有统计学有意义（t=2．85，P〈0．05）。对照组患者生活能力良好率为30．0％，观察组为57．1％，两组比较差异有统计学意义（χ^2=6．47，P〈0．05）。结论主动呼吸循环技术功能锻炼有助于缩短机械通气患者撤机时间，不同程度地改善机械通气患者的生活质量。Objective To study the effect of active cycle of breathing techniques （ACBT） on the respiratory function and quality of life in patieats undergoing mechanical ventilation. Methods A total of 65 patients with respiratory failure treated by mechanical ventilation were randomly divided into control group（ n = 30） and ACBT group （n = 35）. The patients in ACBT group were treated by ACBT, and the patients in the control group were treated by conventional nursing care. Patients＇ vital signs, respiratory function and quality of life were compared. The level of physical recovery and quality of life were measured by the scale of the Barthel index and the activities of dally living （ADL）, respectively. Results In the ACBT group, the mean time of mechanical ventilation was （24. 0 ± 8.9） h and the success rate of ventilator weaning was 77. 1%, which were better than those of （75.0 ±6. 7） h and 53.3% in the control group. There were significant differences between the groups （t = 2. 73,6. 92, respectively ;P 〈 0. 05 ）. At the first day after ventilation, there was no significant difference in the score of ADL between the groups （P 〉 0. 05）. But the score of ADL was significantly different at the third day （t =2. 85,P〈0.05）. 30.0% patients in the control group and 57. 1% patients in the ACBT group had a good viability, the difference was significant （ χ^2 = 6. 47, P 〈 0. 05 ）. Conclusions The active cycle of breathing techniques was useful in shortening the time of mechanical ventilation and can improve patients＇ quality of life.

关 键 词：生活质量 主动呼吸循环技术 机械通气 撤机时间 肺功能 

分 类 号：R472.9[医药卫生—护理学]