基于量化评估的分级康复锻炼方案在重症肺炎机械通气患者中的应用  

Application of Graded Rehabilitation Exercise Program Based on Quantitative Evaluation in Patients with Severe Pneumonia Undergoing Mechanical Ventilation

作　　者：崔嬿嬿 王鑫[1] 赵丽丽[1] CUI Yanyan;WANG Xin;ZHAO Lili(Sintensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院外科重症监护病区,河南郑州450052

出　　处：《河南医学研究》2025年第8期1518-1521,共4页Henan Medical Research

摘　　要：目的 探究与分析基于量化评估的分级康复锻炼方案在重症肺炎机械通气患者中的应用效果。方法 选取自2021年4月至2023年5月入住郑州大学第一附属医院重症监护室的重症肺炎机械通气患者114例,按数字表法随机分为对照组与观察组,每组57例,对照组接受常规康复锻炼,观察组接受基于量化评估的分级康复锻炼方案,对比两组患者康复锻炼后的呼吸峰流量(PEF)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/用力肺活量(FVC)、急性生理学与慢性健康状况评分Ⅱ(APACHEⅡ)、重症监护室住院时间、机械通气时间、重症监护室机械通气相关并发症发生率,对比两组患者入住重症监护室时、重症监护室转出时及出院时的运动功能。结果 观察组锻炼后PEF、FEV_(1)、FEV_(1)/FVC高于对照组,APACHEⅡ评分降于对照组,差异有统计学意义(P<0.05)。观察组与对照组相比重症监护室住院时间、机械通气时间较短,重症监护室机械通气相关并发症发生率较低,差异有统计学意义(P<0.05)。两组入住重症监护室时、重症监护室转出时、出院时运动功能评分逐渐增高,且观察组重症监护室转出时、出院时运动功能评分高于对照组,差异有统计学意义(P<0.05)。结论 基于量化评估的分级康复锻炼方案提高了重症肺炎机械通气患者的肺功能,改善了运动功能,缩短了重症监护室住院时间及机械通气时间,降低了重症监护室机械通气相关并发症发生率。Objective To investigate and analyze the effectiveness of a graded rehabilitation exercise program based on quantitative assessment in mechanically ventilated patients with severe pneumonia.Methods A total of 114 mechanically ventilated patients with severe pneumonia who were admitted to the Intensive Care Unit of the First Affiliated Hospital of Zhengzhou University from April 2021 to May 2023 were randomly divided into control group and observation group according to the numerical table method,with 57 cases in each group.The control group was given routine rehabilitation exercise,and the observation group was given graded rehabilitation exercise program based on quantitative evaluation.The peak expiratory flow(PEF),forced expiratory volume in one second(FEV_(1)),FEV_(1)/forced vital capacity(FVC),acute physiology and chronic health evaluationⅡ(APACHEⅡ),intensive care unit hospitalization time,mechanical ventilation time,and the incidence of complications related to intensive care unit and mechanical ventilation in the two groups after the rehabilitation exercise were compared.The motor function of the two groups at the time of admission to the intensive care unit,at the time of transfer from the intensive care unit,and at the time of discharge from the hospital were compared.Results After exercise,the PEF,FEV_(1),and FEV_(1)/FVC of the observation group were higher than those of the control group,and the APACHEⅡscore decreased compared to the control group,with statistical significance(P<0.05).Compared with the control group,the observation group had shorter hospitalization time and mechanical ventilation time in intensive care unit,and a lower incidence of intensive care unit mechanical ventilation related complications,with statistical significance(P<0.05).The motor function scores of the two groups gradually increased upon admission to the intensive care unit,transfer out of the intensive care unit,and discharge,and the observation group had higher motor function scores upon transfer out of the intensi

关 键 词：重症肺炎 机械通气 量化评估 康复锻炼 

分 类 号：R563.1[医药卫生—呼吸系统]