肺康复运动治疗在留置气管套管患者中的临床疗效  

Clinical effect of pulmonary rehabilitation exercise therapy in patients with indwelling trachea cannula

作　　者：黄春兰 HUANG Chunlan(Department of Imaging,Ganzhou Cancer Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]江西省赣州市肿瘤医院影像科,江西赣州341000

出　　处：《当代医学》2022年第36期36-39,共4页Contemporary Medicine

基　　金：江西省卫计委资助课题(20185607)。

摘　　要：目的探讨肺康复运动治疗在留置气管套管患者中的临床疗效。方法选取2016年12月至2020年9月本院收治的106例留置气管套管患者作为研究对象,随机分为对照组与观察组,每组53例。对照组实施常规治疗,观察组在对照组基础上联合肺康复运动治疗。比较两组临床指标(气管留置时间、拔管情况)、治疗前后肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)占预计值的百分比(FEV_(1)%pred)]、生命质量评分及不良反应发生情况。结果观察组气管留置时间短于对照组,拔管成功率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组FEV_(1)、FEV_(1)%pred均高于治疗前,且观察组高于对照组,观察组FVC高于治疗前及对照组,差异有统计学意义(P<0.05),对照组FVC治疗前后比较差异无统计学意义。观察组生理功能、情感功能、社会功能、躯体疼痛及活力评分均高于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率为3.73%,明显低于对照组的26.42%,差异有统计学意义(P<0.05)。结论肺康复运动治疗在留置气管套管患者中的疗效显著,可减少气管留置时间,有效改善患者肺功能,减少不良反应的发生,提高患者的生命质量,值得临床推广应用。Objective To investigate the clinical effect of pulmonary rehabilitation exercise therapy in patients with indwelling trachea cannula.Methods 106 patients with indwelling trachea cannula in our hospital from December 2016 to September 2020 were selected as the research subjects,and they were randomly divided into control group and observation group,with 53 cases in each group.The control group received routine treatment,and the observation group received pulmonary rehabilitation exercise on the basis of the control group.The clinical indicators(endotracheal indenture time,extubation),pulmonary function indicators before and after treatment(forced expiratory volume in one second[FEV_(1)],forced vital capacity[FVC],FEV_(1) as percentage of predicted value[FEV_(1)%pred]),quality of life scores and the occurrence of adverse reactions were compared between the two groups.Results The endotracheal indenture time in the observation group was shorter than that in the control group,and the success rate of extubation was higher than that in the control group,the differences were statistically significant(P<0.05).After treatment,FEV_(1) and FEV_(1)%pred in the two groups were higher than those before treatment,and the observation group were higher than those in the control group,and FVC in the observation group was higher than that before treatment and control group,the difference was statistically significant(P<0.05),there was no statistically significant difference in FVC in the control group before and after treatment.The scores of physiological function,emotional function,social function,physical pain and vitality scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 3.73%,which was significantly lower than 26.42%in the control group,and the difference was statistically significant(P<0.05).Conclusion Pulmonary rehabilitation exercise therapy has significant effect in patients wi

关 键 词：肺康复运动 留置气管套管 生命质量 肺功能 

分 类 号：R47[医药卫生—护理学]