ICU内早期康复锻炼对呼吸衰竭患者预后质量的效果评价  

Evaluation of positive effect of early rehabilitation exercise in ICU on prognosis quality of patients with respiratory failure

作　　者：钱畅 韩旭东[1] 黄晓英[1] 张素燕[1] 曹志龙 林金锋[1] 袁晓宇[2] QIAN Chang;HAN Xudong;HUANG Xiaoying;ZHANG Suyan;CAO Zhilong;LIN Jinfeng;YUAN Xiaoyu(Department of Intensive Care Unit,the Third People′s Hospital of Nantong,Jiangsu Province,Nantong 226006;Department of Emergency Medicine,the Affiliated Hospital of Nantong University)

机构地区：[1]江苏省南通市第三人民医院重症医学科,南通226006 [2]南通大学附属医院急诊医学科

出　　处：《南通大学学报（医学版）》2020年第6期512-514,共3页Journal of Nantong University(Medical sciences)

基　　金：南通市卫计委青年科研基金资助项目(WKZL2018061)。

摘　　要：目的:评价重症监护室(Intensive Care Unit,ICU)内早期康复锻炼对呼吸衰竭患者预后质量的积极效果。方法:选取2018年10月—2020年1月入住南通市第三人民医院ICU的呼吸衰竭患者73例为研究对象。随机分为观察组37例和对照组36例,对照组给予常规护理,观察组在常规护理基础上开展早期康复锻炼。比较两组患者的基本资料,进入ICU前和移出ICU时的用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume per second,FEV1)、两者的比值(FEV1/FVC)、机械通气时间、ICU停留时间、住院总时间、Barthel指数及患者并发症发生情况。结果:两组患者入住ICU时FEV1、FVC、FEV1/FVC差异无统计学意义(P>0.05);移出ICU时观察组FEV1、FVC、FEV1/FVC均明显高于对照组(均P<0.05)。观察组患者机械通气时间、ICU停留时间及住院总时间明显少于对照组(P<0.05);观察组患者出院时Barthel指数明显高于对照组(P<0.05)。观察组患者并发症发生率明显低于对照组(P<0.05)。结论:ICU内早期康复锻炼对呼吸衰竭患者预后质量可以带来更为积极的效果,是一种值得推广的康复模式。Objective:To evaluate the positive effect of early rehabilitation exercise in Intensive Care Unit(ICU)on the prognosis of patients with respiratory failure.Methods:73 patients with respiratory failure admitted to ICU of the Third People′s Hospital of Nantong from October 2018 to January 2020 were selected as the research objects.They were randomly divided into observation group(37 cases)and control group(36 cases).The control group was given routine nursing,and the observation group was given early rehabilitation exercise on the basis of routine nursing.The basic data of the two groups were compared,including forced vital capacity(FVC),forced expiratory volume per second(FEV1),FEV1/FVC,mechanical ventilation time,ICU stay time,total length of hospital stay,Barthel Index and complications before and after ICU removal.Results:There was no significant difference in FEV1,FVC,FEV1/FVC between the two groups(P>0.05);FEV1,FVC and FEV1/FVC in the observation group were significantly higher than those in the control group(P<0.05).The mechanical ventilation time,ICU stay time and total hospitalization time of the observation group were significantly less than those of the control group(P<0.05);the Barthel index of the observation group was significantly higher than that of the control group(P<0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Early rehabilitation exercise in ICU can bring more positive effect on the prognosis quality of patients with respiratory failure,which is a kind of rehabilitation mode worthy of promotion.

关 键 词：呼吸衰竭 康复训练 重症监护室 预后 

分 类 号：R563.8[医药卫生—呼吸系统]