误吸风险评估下分级肺康复护理对ICU机械通气患者干预效果  

Evaluation of Respiratory Function and Safety of ICU Mechanically Ventilated Patients with Graded Pulmonary Rehabilitation Nursing Care Under the Risk of Aspiration Assessment

作　　者：盛方 SHENG Fang(The First People's Hospital of Xianning,Xianning Hubei 437000,China)

机构地区：[1]咸宁市第一人民医院,湖北咸宁437000

出　　处：《湖北科技学院学报(医学版)》2025年第1期72-76,共5页Journal of Hubei University of Science and Technology(Medical Sciences)

摘　　要：目的探究误吸风险评估下分级肺康复护理对重症监护室(ICU)机械通气患者干预效果。方法选取我院146例ICU机械通气患者,按照随机数字表法分为对照组(常规护理)与观察组(误吸风险评估下的分级肺康复护理)各73例,比较两组呼吸指标、肺功能、围术期指标、并发症发生情况与满意度。结果干预后,观察组气道阻力(Raw)、气道峰压(PIP)、呼吸压力(RP)以及改良版英国医学研究会呼吸困难量表(mMRC)低于对照组,动态顺应性(Cdyn)指标高于对照组(P均<0.05);观察组用力肺活量(FVC)、1秒用力呼气容积(FEV1)及FEV1/FVC比值显著高于对照组(P均<0.05);观察组患者机械通气时间、住院时间低于对照组,脱机成功率较高(P均<0.05);观察组不良反应发生率1.37%显著低于对照组10.96%,护理满意度95.89%比对照组86.30%高(P均<0.05)。结论误吸风险评估下的分级肺康复护理可有效改善患者呼吸功能与肺功能,缩短康复时间,安全性满意度均较高。Objective To investigate the intervention effect of graded pulmonary rehabilitation nursing under the risk of aspiration on mechanically ventilated patients in the intensive care unit(ICU).Methods A total of 146 patients with mechanical ventilation in the ICU of our hospital were selected and divided into a control group(conventional nursing)and an observation group(graded pulmonary rehabilitation management under aspiration risk assessment)according to the random number table method,with 73 cases in each group.The respiratory indexes,lung function,perioperative indexes,complications and satisfaction were compared between the two groups.Results After intervention,airway resistance(Raw),peak airway pressure(PIP),respiratory pressure(RP)and modified British Medical Research Council dyspnea scale(mMRC)in the observation group were lower than those in the control group,and the dynamic compliance(Cdyn)index was higher than that in the control group(all P<0.05);the forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1)and FEV1/(FVC),forceful expiratory volume in 1 second(FEV1)and FEV1/FVC ratio in the observation group were significantly higher than those in the control group(all P<0.05);the mechanical ventilation time and hospitalization time of the patients in the observation group were shorter than those in the control group,and the success rate of weaning was higher(all P<0.05);the incidence of adverse reactions in the observation group was 1.37%,which was significantly lower than that in the control group(10.96%),and the satisfaction rate of the nursing care of the observation group(95.89%)was higher than that of the control group(86.30%)(all P<0.05).Conclusion Graded pulmonary rehabilitation nursing care under aspiration risk assessment can effectively improve patients'respiratory and lung functions,shorten the rehabilitation time,and has high safety and satisfaction.

关 键 词：误吸风险评估 分级肺康复护理 重症监护室 机械通气 

分 类 号：R473.6[医药卫生—护理学]