无创呼吸机联合肺康复训练治疗慢性阻塞性肺疾病急性发作期的临床效果  

Clinical Effect of Non-invasive Ventilator Combined with Pulmonary Rehabilitation Training in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：梁永强[1] 叶丽敏 熊志刚[1] 孔祥伟[1] Liang Yong-qiang;Ye Li-min;Xiong Zhi-gang;Kong Xiang-wei(Huaiji People's Hospital,Zhaoqing 526400,Guangdong Province,China)

机构地区：[1]广东省怀集县人民医院,广东肇庆526400

出　　处：《中外医药研究》2022年第2期69-71,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：肇庆市科技计划项目合同书(项目编号:202004030719)。

摘　　要：目的:探讨无创呼吸机联合肺康复训练治疗慢性阻塞性肺疾病急性发作期的临床效果,以及对患者生活质量的影响。方法:选取2020年1月-2022年3月广东省怀集县人民医院收治的80例慢性阻塞性肺疾病急性发作期患者作为研究对象,用随机数字表法分为两组,各40例。对照组给予无创呼吸机治疗,观察组在对照组的基础上实施肺康复训练。比较两组患者的呼吸衰竭纠正时间、无创呼吸机通气时间、住院时间、生活质量、呼吸力学指标。结果:观察组呼吸衰竭纠正时间、无创呼吸机通气时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组治疗后的各项生活质量评分均高于对照组,差异有统计学意义(P<0.05);治疗前,两组用力肺活量、第1 s用力呼气容积及第1 s用力呼气容积与用力肺活量的比值比较,差异无统计学意义(P>0.05);治疗后,观察组以上各呼吸力学指标均大于对照组,差异有统计学意义(P<0.05)。结论:采用无创呼吸机联合肺康复训练治疗慢性阻塞性肺疾病急性发作期的效果显著,可改善患者的生活质量,值得推广应用。Objective:To investigate the clinical effect of non-invasive ventilator combined with pulmonary rehabilitation training in the treatment of acute exacerbation of chronic obstructive pulmonary disease and its impact on the quality of life of patients.Methods:A total of 80 patients with acute exacerbation of chronic obstructive pulmonary disease who were admitted to Huaiji People's Hospital of Guangdong Province from January 2020 to March 2022 were selected as the research subjects,and were divided into two groups by random number table method,each with 40 cases.The control group was given non-invasive ventilator treatment,and the observation group was given pulmonary rehabilitation training on the basis of the control group.The respiratory failure correction time,non-invasive ventilator ventilation time,hospital stay,quality of life and respiratory mechanics indexes were compared between the two groups.Results:The correction time of respiratory failure,non-invasive ventilator ventilation time and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The quality of life scores in the observation group after treatment were higher than those in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in forced vital capacity,forced expiratory volume in 1 s and the ratio of forced expiratory volume in 1 s to forced vital capacity between the two groups(P>0.05).After treatment,the above respiratory mechanics indexes in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of non-invasive ventilator combined with pulmonary rehabilitation training in the treatment of acute exacerbation of chronic obstructive pulmonary disease has a significant effect,can improve the quality of life of patients,and is worthy of popularization and application.

关 键 词：无创呼吸机 肺康复训练 慢性阻塞性肺疾病 生活质量 

分 类 号：R47[医药卫生—护理学]