早期康复活动对急诊重症COPD急性加重期合并呼吸衰竭患者康复效果的影响  

The impact of early rehabilitation activities on the rehabilitation effect of patients with acute exacerbation of severe COPD and respiratory failure

作　　者：李红梅 杨海玲 LI Hong-mei;YANG Hai-ling(Longyan Second Hospital,Longyan 364000,China)

机构地区：[1]龙岩市第二医院,364000

出　　处：《中国现代药物应用》2024年第10期162-165,共4页Chinese Journal of Modern Drug Application

摘　　要：目的研究早期康复活动在急诊重症慢性阻塞性肺疾病(COPD)急性加重期合并呼吸衰竭患者康复中的应用效果。方法选择接受治疗的110例急诊重症COPD急性加重期合并呼吸衰竭患者,随机将患者分为对照组(55例)和观察组(55例)。对照组使用常规康复干预,观察组在对照组的基础上使用早期康复活动干预。对比两组患者干预前后的肺功能指标[第1秒用力呼气容积(FEV1)占预计值的百分比、FEV1/用力肺活量(FVC)、FEV1],治疗时间[总住院时间、机械通气时间、重症加强护理病房(ICU)住院时间],并发症发生情况。结果观察组干预后的FEV1占预计值的百分比(75.85±5.41)%、FEV1/FVC(77.82±5.14)%、FEV1(2.41±0.41)L比对照组的(64.52±4.25)%、(65.87±5.11)%、(1.72±0.20)L高(P<0.05)。观察组患者的机械通气时间、ICU住院时间、总住院时间分别为(16.51±4.15)、(20.10±4.52)、(28.41±5.16)d,比对照组的(21.26±4.52)、(29.11±7.12)、(38.52±8.14)d短(P<0.05)。观察组患者的并发症发生率9.1%比对照组的23.6%低(P<0.05)。结论早期康复活动在急诊重症COPD急性加重期合并呼吸衰竭患者中应用能够改善患者的肺功能和生活质量,并且避免患者出现并发症,值得临床推广应用。Objective To study the application effect of early rehabilitation activities on the rehabilitation effect of patients with acute exacerbation of severe chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods A total of 110 patients with acute exacerbation of severe COPD and respiratory failure were selected as cases.The patients were randomly divided into a control group(55 cases)and an observation group(55 cases).The control group received routine rehabilitation intervention,while the observation group received early rehabilitation intervention based on the control group.Patients in both groups were compared in terms of pulmonary function indexes[forced expiratory volume in one second(FEV1)as a percentage of the predicted value,FEV1/forced vital capacity(FVC),FEV1]before and after intervention,treatment time[total hospital stay,mechanical ventilation time,intensive care unit(ICU)stay]and the incidence of complications.Results After intervention,the FEV1 as a percentage of the predicted value of the observation group was(75.85±5.41)%,FEV1/FVC was(77.82±5.14)%,and FEV1 was(2.41±0.41)L,which were higher than(64.52±4.25)%,(65.87±5.11)%,and(1.72±0.20)L of the control group(P<0.05).The mechanical ventilation time,ICU stay and total hospital stay were(16.51±4.15),(20.10±4.52)and(28.41±5.16)d in the observation group,which were shorter than(21.26±4.52),(29.11±7.12)and(38.52±8.14)d in the control group(P<0.05).The complication rate of 9.1%in the observation group was lower than 23.6%in the control group(P<0.05).Conclusion The application of early rehabilitation activities in patients with acute exacerbation of severe COPD and respiratory failure can improve their lung function and quality of life,and avoid complications,which is worthy of clinical promotion and application.

关 键 词：早期康复活动 急诊 重症慢性阻塞性肺疾病急性加重期 呼吸衰竭 

分 类 号：R563.9[医药卫生—呼吸系统] R563.8[医药卫生—内科学] R493[医药卫生—临床医学]