阶梯式肺康复护理方案对呼吸衰竭患者肺功能及再插管率的影响  

Effect of Stepped Pulmonary Rehabilitation Nursing Program on Pulmonary Function and Reintubation Rate of Patients with Respiratory Failure

作　　者：秦金梅 张春艳[1] 周诗扬 QIN Jin-mei;ZHANG Chun-yan;ZHOU Shi-yang(Respiratory and Critical Care Unit 1,Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州大学附属胸科医院呼吸与危重症一科,河南郑州450000

出　　处：《罕少疾病杂志》2024年第9期151-152,共2页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190754)。

摘　　要：目的 探讨阶梯式肺康复护理方案对呼吸衰竭患者肺功能及再插管率的影响。方法 便利抽样法选取2022年8月-2023年8月在本院呼吸科收治的呼吸衰竭患者86例,对照组采用常规肺康复方案,观察组采用阶梯式肺康复护理方案。统计两组患者肺功能指标如FEV1、FVC、FEV1/FVC、机械通气时间、脱机时间、脱机后48h内再插管率。结果 护理前,两组患者肺功能指标比较差异均无统计学意义(P>0.05),护理后,两组肺功能指标均较护理前上升,组间比较,观察组患者肺功能指标FEV1、FVC、FEV1/FVC均高于对照组(P<0.05);观察组患者机械通气时间、脱机时间均短于对照组患者(P<0.05),观察组再插管率2.33%低于对照组(P<0.05)。结论 阶梯式肺康复护理方案比常规肺康复方案更有效地提高呼吸衰竭患者的肺功能指标,缩短机械通气时间和脱机时间,同时减少再插管率。Objective To investigate the effects of stepped pulmonary rehabilitation nursing program on pulmonary function and reintubation rate of patients with respiratory failure.Methods A total of 86 patients with respiratory failure admitted to the intensive care unit of our hospital from August 2022 to August 2023 were selected by convenient sampling method.The control group was treated with conventional pulmonary rehabilitation,while the observation group was treated with stepped pulmonary rehabilitation nursing.Pulmonary function indexes such as FEV1,FVC,FEV1/FVC,mechanical ventilation time,offline time,and re-intubation rate within 48h after offline were analyzed.Results Before nursing,there was no statistical significance in the pulmonary function indexes between the two groups(P>0.05).After nursing,the pulmonary function indexes of the two groups were increased compared with those before nursing.Compared between groups,the pulmonary function indexes FEV1,FVC and FEV1/FVC in the observation group were higher than those in the control group(P<0.05).The mechanical ventilation time and offline time in the observation group were shorter than those in the control group(P<0.05),and the reintubation rate of 2.33%in the observation group was lower than that in the control group(P<0.05).Conclusion The stepped pulmonary rehabilitation nursing program is more effective than the conventional pulmonary rehabilitation program to improve the pulmonary function index of patients with respiratory failure,shorten the mechanical ventilation time and offline time,and reduce the rate of re-intubation.

关 键 词：呼吸衰竭 肺康复 肺功能 再插管率 

分 类 号：R47[医药卫生—护理学]