早期肺康复训练对脑卒中相关性肺炎患者的临床应用价值探索  

Exploring the Clinical Application Value of Early Pulmonary Rehabilitation Training in Patients with Stroke-associated Pneumonia

作　　者：马海 刘梅[1] 拜承萍[2] 严小红 赵艳芳[1] 马玥 MA Hai;LIU Mei;BAI Chengping;YAN Xiaohong;ZHAO Yanfang;MA Yue(Department of Rehabilitation Medicine,Affiliated Hospital of Qinghai University,Xining,Qinghai Province,810012 China;Department of Neurology,Affiliated Hospital of Qinghai University,Xining,Qinghai Province,810012 China;College of Clinical Medicine,Qinghai University,Xining,Qinghai Province,810016 China)

机构地区：[1]青海大学附属医院康复医学科,青海西宁810012 [2]青海大学附属医院神经内科,青海西宁810012 [3]青海大学临床医学院,青海西宁810016

出　　处：《系统医学》2023年第15期8-12,共5页Systems Medicine

基　　金：青海大学附属医院中青年科研基金一般项目(ASRF-2020-YB-10)。

摘　　要：目的探讨早期肺康复训练对脑卒中相关性肺炎(stroke-associated pneumonia,SAP)患者的临床应用价值,也为其在临床上的进一步推广应用提供理论依据。方法选取2021年1—12月于青海大学附属医院康复医学科、重症医学科、急诊ICU、脑外科、神经内科明确诊断为SAP的60例患者作为研究对象,采用随机数表法分为治疗组和对照组,每组30例。对照组采用常规康复治疗,治疗组在对照组基础上增加肺康复训练治疗,共治疗两周。分析两组治疗前后氧合指数,博格呼吸困难指数、改良Barthel指数(Modified Barthel Index,MBI)评分。结果治疗两周后,治疗组氧合指数、改良Barthel指数评分分别为(425.83±34.51)mmHg、(44.53±17.18)分,均高于对照组,差异有统计学意义(t=-2.152、-2.022,P<0.05)。治疗两周后,治疗组博格呼吸困难指数评分(1.23±0.58)分低于对照组,差异有统计学意义(P<0.05)。结论采用常规康复训练的基础上增加肺康复训练更加有利于改善SAP患者的氧合指数及呼吸困难症状,促进肺炎的康复,从而提高患者日常生活活动能力。Objective To explore the clinical application value of early pulmonary rehabilitation training in patients with stroke-associated pneumonia(SAP),and to provide a theoretical basis for its further clinical application.Meth⁃ods From January to December 2021,60 patients who were diagnosed with SAP in the Department of Rehabilitation Medicine,Department of Critical Care Medicine,Emergency ICU,Department of Brain Surgery and Department of Neurology of the Affiliated Hospital of Qinghai University were selected as the research objects.They were divided into treatment group and control group by random number table method,with 30 cases in each group.The control group was treated with conventional rehabilitation therapy,and the treatment group was treated with pulmonary rehabilitation training on the basis of the control group for two weeks.The oxygenation index,Borg dyspnea index and modified Barthel index scores of the two groups before and after treatment were analyzed.Results After two weeks of treatment,the oxygenation index and modified barthel index of the treatment group were(425.83±34.51)mmHg and(44.53±17.18)points,respectively,which were higher than those of the control group,and the differences were statistically significant(t=-2.152,-2.022,P<0.05).After two weeks of treatment,the Borg dyspnea index score of the treatment group(1.23±0.58)points was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Adding pulmonary rehabilitation training on the basis of conventional rehabilitation training is more conducive to improving the oxygenation index and dyspnea symptoms of patients with stroke-associated pneumonia,promoting the recovery of pneumonia,and thus improving the patients'ability to perform activities of daily living.

关 键 词：脑卒中相关性肺炎 肺康复 氧合指数 日常生活活动能力 

分 类 号：R4[医药卫生—临床医学]