肺康复训练在慢性阻塞性肺疾病急性加重期患者行有创机械通气治疗中的应用效果  

Effect of Pulmonary Rehabilitation Training in Invasive Mechanical Ventilationfor Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：苏真真 SU Zhenzhen(Department of Critical Care Medicine,Jinxiang People’s Hospital Affiliated to Jining Medical College,Jining 272000,China)

机构地区：[1]济宁医学院附属金乡县医院重症医学科,山东济宁272000

出　　处：《中国伤残医学》2024年第18期86-89,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨肺康复训练在慢性阻塞性肺疾病急性加重期(AECOPD)患者行有创机械通气治疗中的应用效果。方法:选取2022年8月-2023年10月济宁医学院附属金乡县医院收治的62例行有创机械通气治疗的AECOPD患者为研究对象,随机将其分为对照组及研究组,各31例。对照组行常规治疗,研究组在此基础上进行肺康复训练。比较两组临床指标、肺功能、呼吸困难症状严重程度及生存质量。结果:研究组的有创机械通气时间及入住ICU时间均短于对照组,差异均有统计学意义(P<0.05)。治疗5 d后,研究组的用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/FVC均高于对照组,差异均有统计学意义(P<0.05)。治疗5 d后,研究组的改良呼吸困难指数量表评分、慢性阻塞性肺疾病评估测试评分均低于对照组,差异均有统计学意义(P<0.05)。结论:对行有创机械通气治疗的AECOPD患者开展肺康复训练,有助于缩短其有创机械通气及入住ICU时间,有效提高患者的肺功能,减轻呼吸困难症状,改善其生存质量。Objective:To investigate the effect of pulmonary rehabilitation training in invasive mechanical ventilation for patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:A total of 62 AECOPD patients treated with invasive mechanical ventilation in Jinxiang People’s Hospital Affiliated to Jining Medical College from August 2022 to October 2023 were selected as the study objects and randomly divided into a control group and a study group,with 31 cases in each group.The control group received routine treatment,and the study group received pulmonary rehabilitation training on this basis.The clinical indexes,pulmonary function,severity of dyspnea symptoms and quality of life of the two groups were compared.Results:The invasive mechanical ventilation time and ICU stay time in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).After 5 days of treatment,the forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))and FEV_(1)/FVC of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).After 5 days of treatment,the scores of modified Medical Research Council dyspnea index scale and chronic obstructive pulmonary disease assessment test in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Pulmonary rehabilitation training for patients with AECOPD undergoing invasive mechanical ventilation therapy can help shorten the time of invasive mechanical ventilation and ICU stay,effectively improve the pulmonary function of patients,reduce the symptoms of dyspnea,and improve their quality of life.

关 键 词：慢性阻塞性肺疾病急性加重期 有创机械通气 肺康复训练 

分 类 号：R563[医药卫生—呼吸系统]