多功能呼气阀联合呼吸功能锻炼在机械通气患者临床护理中的应用效果  

Application effect of multifunctional exhalation valve combined with respiratory function exercise in clinical nursing of mechanically ventilated patients

作　　者：覃碧琼 徐品贤 覃金兰 戴小英 黄华田[1] 梁方柳 周萍 郑立 QIN Biqiong;XU Pinxian;QIN Jinlan;DAI Xiaoying;HUANG Huatian;LIANG Fangliu;ZHOU Ping;ZHENG Li(Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院,广西壮族自治区南宁市530021

出　　处：《护理实践与研究》2024年第12期1848-1852,共5页Nursing Practice and Research

基　　金：广西卫生健康委计划课题(编号:Z20201253)。

摘　　要：目的探讨基于膈肌超声监测下多功能呼气阀联合呼吸功能锻炼在机械通气患者护理中的应用效果。方法选取2020年7月—2022年1月在广西壮族自治区江滨医院ICU住院的行机械通气40例患者作为研究对象,按组间基线资料可比的原则分为对照组和观察组各20例,对照组采用重症监护护理及常规康复护理,观察组在对照组基础上增加使用多功能呼吸阀辅助呼吸功能锻炼。比较两组患者膈肌增厚率、膈肌移动度、机械通气时间、ICU住院时间、住院费用及患者护理满意度。结果观察组三个时点(干预前、干预5 d、干预10 d)膈肌增厚率呈递增的趋势,对照组呈递减趋势,时间之间差异有统计学意义(P时间<0.05);各时点均以观察组高于对照组,差异有统计学意义(P_(组间)<0.05),随着观察时间延长,组间差异逐渐增大,差异有统计学意义(P_(交互)<0.05)。两组患者三个时点膈肌移动度时间之间差异无统计学意义(P_(时间)>0.05);各时点均以观察组高于对照组,差异有统计学意义(P_(组间)<0.05),随着观察时间延长,组间差异逐渐增大,差异有统计学意义(P_(交互)<0.05)。观察组患者机械通气时间、住院费用优于对照组,差异有统计学意义(P<0.05);两组患者ICU住院时间及患者护理满意度比较,差异无统计学意义(P>0.05)。结论ICU机械通气患者使用多功能呼吸阀联合呼吸功能锻炼可以改善膈肌功能,缩短患者机械通气时间,减轻患者经济负担。Objective To explore the application effect of multifunctional expiratory valve combined with respiratory function exercise in the nursing of mechanically ventilated patients based on diaphragm ultrasound monitoring.Methods A total of 40 mechanically ventilated patients hospitalized in the ICU of Jiangbin Hospital of Guangxi Zhuang Autonomous Region from July 2020 to January 2022 were selected as research subjects.According to the principle of comparability of baseline data between groups,they were divided into a control group and an observation group,with 20 cases in each group.The control group received intensive care nursing and conventional rehabilitation care,while the observation group added the use of a multifunctional respiratory valve combined with respiratory function exercise based on the control group.The diaphragm thickening rate,diaphragm mobility,duration of mechanical ventilation,length of ICU stay,hospitalization costs,and patient satisfaction with nursing were compared between the two groups.Results The diaphragm thickening rate in the observation group showed an increasing trend at three time points(before intervention,5 days of intervention,and 10 days of intervention),while the control group showed a decreasing trend,the differences between the time points were statistically significant(P<0.05);the observation group were higher than the control group at each time point,the differences were statistically significant(P<0.05),and as the observation period extended,the inter-group differences gradually increased,the differences were statistically significant(P<0.05).There were no statistically significant differences in diaphragm mobility time between the two groups at the three time points(P>0.05);the observation group were higher than the control group at each time point,the differences were statistically significant(P<0.05),and as the observation period extended,the inter-group differences gradually increased,the differences were statistically significant(P<0.05).The duration of mechanical ven

关 键 词：肺康复 机械通气 膈肌移动度 膈肌增厚率 呼吸功能锻炼 

分 类 号：R473.5[医药卫生—护理学]