ICU早期活动干预在呼吸衰竭患者中的应用  

Early ICU Activity Interventions in the Application for Patients with Respiratory Failure

作　　者：罗艳青 李常鑫 罗丽华 LUO Yanqing;LI Changxin;LUO Lihua(Department of ICU,Nanping First Hospital Affiliated to Fujian Medical University,Nanping 353000,China)

机构地区：[1]福建医科大学附属南平第一医院ICU,福建南平353000

出　　处：《中国医学创新》2025年第10期131-135,共5页Medical Innovation of China

摘　　要：目的:本研究旨在评估重症监护病房(ICU)早期活动干预对呼吸衰竭患者恢复过程的影响。方法:本研究对象为福建医科大学附属南平第一医院2021年1月—2023年10月收治的90例呼吸衰竭患者。采取随机数字表法分为两组,对照组实施常规干预,研究组在常规干预基础上加入早期活动干预。观察两组患者治疗前后动脉血氧分压(PaO_(2))、血氧饱和度(SaO2)、氧合指数(PaO_(2)/FiO_(2))、用力肺活量(FVC)、第一秒用力呼吸容积(FEV_(1))、圣乔治呼吸问卷(SGRQ)评分、并发症发生率、机械通气时长及ICU住院时长。结果:干预后,研究组PaO_(2)、SaO_(2)及PaO_(2)/FiO_(2)均高于对照组(P<0.05)。研究组的肺功能指标(FVC、FEV1)均高于对照组,同时SGRQ评分低于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为8.89%,显著低于对照组的24.44%(P<0.05)。研究组ICU时间和机械通气治疗时间较短于对照组(P<0.05)。结论:在ICU病房中对呼吸衰竭患者实施早期活动疗法能有效改善呼吸功能。Objective:To evaluate the effect of early activity intervention on the recovery process of patients with respiratory failure in the intensive care unit(ICU).Method:The subjects of this study were 90 patients with respiratory failure admitted to the Nanping First Hospital Affiliated to Fujian Medical University from January 2021 to October 2023.The patients were divided into two groups by random number table method.The control group was given routine intervention,and the study group was given early activity intervention on the basis of routine intervention.The arterial partial pressure of oxygen(PaO_(2)),blood oxygen saturation(SaO_(2)),oxygenation index(PaO_(2)/FiO_(2)),forced vital capacity(FVC),forced expiratory volume in one second(FEV1),St George's respiratory questionnaire(SGRQ)score,incidence of complications,duration of mechanical ventilation and length of ICU stay were observed before and after treatment in the two groups.Result:After intervention,PaO_(2),SaO_(2) and PaO_(2)/FiO_(2) in the study group were higher than those in the control group(P<0.05).The lung function indexes(FVC,FEV1)of the study group were higher than those of the control group,and the SGRQ score was lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 8.89%,which was significantly lower than 24.44%in the control group(P<0.05).The ICU time and mechanical ventilation treatment time in the study group were shorter than those in the control group(P<0.05).Conclusion:Early activity intervention for patients with respiratory failure in ICU can effectively improve their respiratory function.

关 键 词：重症监护病房 早期活动疗法 呼吸衰竭 呼吸功能 

分 类 号：R563.8[医药卫生—呼吸系统]