分阶段肺康复锻炼治疗非插管ARDS患者的应用效果评价  

Evaluation of the Application Effect of Staged Pulmonary Rehabilitation Exercises in the Treatment of Non-intubated ARDS Patients

作　　者：张毅 刘青松 陈福英 ZHANG Yi;LIU Qingsong;CHEN Fuying(Department of Critical Care Medicine,Xiamen Humanity Hospital,Xiamen,Fujian,361000,China)

机构地区：[1]厦门弘爱医院重症医学科,福建厦门361000

出　　处：《中外医疗》2024年第36期85-89,共5页China & Foreign Medical Treatment

摘　　要：目的研究非插管急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者采取分阶段肺康复锻炼治疗的效果。方法方便选取2020年6月—2024年6月厦门弘爱医院收治的102例非插管ARDS患者作为研究对象,根据不同治疗方案分为两组,对照组(n=51)行常规生命支持治疗,观察组(n=51)联合分阶段肺康复锻炼治疗方法。对比两组患者血气指标、肺功能指标、并发症情况以及康复进程时间的结果。结果治疗14 d后,两组患者血气指标优于治疗前;观察组的动脉血氧分压(71.56±5.94)mmHg、血氧饱和度(94.25±3.42)%、氧合指数(266.52±20.43)mmHg,均高于对照组的(64.25±6.12)mmHg、(91.34±3.11)%、(234.56±19.52)mmHg,动脉血二氧化碳分压(44.34±5.12)mmHg低于对照组的(50.12±5.57)mmHg,差异均有统计学意义(t=6.120,4.495,8.077,5.455;P均<0.05)。治疗14 d后,观察组的肺功能指标高于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组的辅助通气时间与重症加强护理病房时间均短于对照组,差异均有统计学意义(P均<0.05)。结论对非插管ARDS患者,在常规生命支持治疗的同时给予开展分阶段肺康复锻炼,可以改善患者的血气指标和肺功能,降低并发症的发生风险,加速康复进程。Objective To study the effect of staged pulmonary rehabilitation exercises in the treatment of non intubated patients with acute respiratory distress syndrome(ARDS).Methods A total of 102 non-intubated ARDS patients admitted to Xiamen Humanity Hospital from June 2020 to June 2024 were conveniently selected as the research subjects.According to different treatment plans,they were divided into two groups.The control group(n=51)received routine life support treatment,and the observation group(n=51)was treated with a combination of staged pulmonary rehabilitation exercises.The blood gas indices,pulmonary function indices,complications,and the time of the rehabilitation process were compared between the two groups.Results 14 d after treatment,the blood gas indices of both groups was better than that before treatment,the arterial partial pressure of oxygen(71.56±5.94)mmHg,blood oxygen saturation(94.25±3.42)%,and oxygenation index(266.52±20.43)mmHg in the observation group were all higher than those in the control group(64.25±6.12)mmHg,(91.34±3.11)%,(234.56±19.52)mmHg,while the arterial partial pressure of carbon dioxide(44.34±5.12)mmHg was lower than that in the control group(50.12±5.57)mmHg,and the differences were statistically significant(t=6.120,4.495,8.077,5.455;all P<0.05).14 d after treatment,the pulmonary function indices of the observation group were all higher than those of the control group,and the difference was statistically significant(P<0.05).The complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The assisted ventilation time and the length of stay in the intensive care unit in the observation group were both shorter than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion For non-intubated ARDS patients,giving staged pulmonary rehabilitation exercises while receiving routine life support treatment can improve the patients'blood gas indices and pulmonary func

关 键 词：急性呼吸窘迫综合征 机械通气 分阶段肺康复锻炼 血气指标 肺功能 

分 类 号：R5[医药卫生—内科学]