分阶段康复训练在重症肺炎合并呼吸衰竭患者中的应用效果  

Application effects of staged rehabilitation training in patients with severe pneumonia complicated with respiratory failure

作　　者：王凤哲 WANG Fengzhe(ICU Ward 1 of Intensive Medicine Center of Henan Provincial People’s Hospital Intensive,Zhengzhou 450000 Henan,China)

机构地区：[1]河南省人民医院重症医学部中心ICU一病区,河南郑州450000

出　　处：《中国民康医学》2025年第8期102-104,108,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察分阶段康复训练在重症肺炎合并呼吸衰竭患者中的应用效果。方法:回顾性分析2022年3月至2024年3月该院收治的150例重症肺炎合并呼吸衰竭患者的临床资料,按照干预方式不同将其分为研究组与对照组各75例。对照组采用常规康复训练,研究组在对照组基础上联用分阶段康复训练。比较两组干预前后氧合指数(OI)水平、动脉血氧分压(PaO_(2))水平、肌肉功能[简易体能状况量表(SPPB)]评分,以及呼吸功能分级[改良的英国医学研究委员会呼吸困难量表(m MRC)]、临床症状(肺部啰音、发绀)消失时间、机械通气时间和住院时间。结果:干预后,两组OI、PaO_(2)水平均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);干预后,两组SPPB评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组呼吸功能分级优于对照组,差异有统计意义(P<0.05);研究组肺部啰音、发绀等临床症状消失时间、机械通气时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。结论:在常规康复训练基础上采用分阶段康复训练可提高重症肺炎合并呼吸衰竭患者OI水平、PaO_(2)水平、SPPB评分和呼吸功能,缩短临床症状消失时间、机械通气时间和住院时间,效果优于单纯常规康复训练。Objective:To observe application effects of staged rehabilitation training in patients with severe pneumonia complicated with respiratory failure.Methods:The clinical data of 150 patients with severe pneumonia complicated with respiratory failure admitted to this hospital from March 2022 to March 2024 were retrospectively analyzed.According to different intervention methods,they were divided into study group and control group,75 cases in each group.The control group was treated with routine rehabilitation training,while the study group was treated with staged rehabilitation training on the basis of that of the control group.The oxygenation index(OI)levels,the arterial partial pressure of oxygen(PaO_(2))levels,the muscle function[short physical performance battery(SPPB)]scores before and after the intervention,and the respiratory function classification[modified British medical research council dyspnea scale(mMRC)],the disappearance time of clinical symptoms(pulmonary rales,cyanosis),the mechanical ventilation time,and the hospitalization time were compared between the two groups.Results:After the intervention,the levels of OI and PaO_(2) in the two groups were higher than those before the intervention,those in the study group were higher than those in those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the SPPB scores of the two groups were higher than those before the intervention,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).The respiratory function classification of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).Further,the disappearance time of clinical symptoms such as pulmonary rales and cyanosis,the mechanical ventilation time and the hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of th

关 键 词：分阶段康复训练 重症肺炎 呼吸衰竭 氧合指数 呼吸功能 临床症状 机械通气 

分 类 号：R563.1[医药卫生—呼吸系统]