| 王哲伟,叶思思,叶群,张中凯,林静静.肺康复对急性重症脑损伤机械通气患者治疗疗效的研究[J].中国康复,2021,36(6):344-347 |
| 肺康复对急性重症脑损伤机械通气患者治疗疗效的研究 |
| Effect of pulmonary rehabilitation on mechanical ventilation in patients with acute severe brain injury |
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| DOI： |
| 中文关键词: 肺康复 急性重症脑损伤 机械通气 |
| 英文关键词: pulmonary rehabilitation severe acute brain injury mechanical ventilation |
| 基金项目:温州市科技局基础性科研项目（Y2020716） |
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| 中文摘要: |
| 目的：探讨肺康复在急性重症脑损伤（SABI）机械通气患者中的疗效。方法：50例SABI患者随机分为对照组和观察组各25例，对照组接受常规治疗，观察组在此基础上增加肺康复治疗。治疗前后比较2组患者的住院时间、机械通气时间、呼吸机相关性肺炎（VAP）的发生率、膈肌移动度以及氧合指数。结果：治疗后，观察组急诊重症监护室（EICU）住院时间、机械通气时间均显著少于对照组(均P＜0.01)，且观察组VAP发生率明显低于对照组（P＜0.05）。治疗1周后，2组患者的膈肌移动度较治疗前均显著提高（均P＜0.01），且观察组更高于对照组（P＜0.05）；2组患者的氧合指数较治疗前组内比较和治疗后组间比较差异均无统计学意义。结论：肺康复能有效缩短SABI患者机械通气时间及住院时间，降低呼吸机相关性肺炎的发生率，提高膈肌移动度，但对氧合指数改善有限。 |
| 英文摘要: |
| Objective: To investigate the curative effect of pulmonary rehabilitation in patients with mechanical ventilation after severe acute brain injury (SABI). Methods: Fifty patients with SABI were randomly divided into control group (n=25) and treatment group (n=25). Both groups received routine treatment, and the treatment group was given pulmonary rehabilitation treatment additionally. The length of hospital stay, duration of mechanical ventilation, incidence of ventilator associated pneumonia (VAP), diaphragm muscle mobility, and oxygenation index were compared between the two groups before and after treatment. Results: After treatment, the length of hospital stay in the emergency intensive care unit (EICU) and the duration of mechanical ventilation in the treatment group were significantly shorter than those in the control group (both P<0.01), and the incidence of VAP in the treatment group was significantly lower than that in the control group (P<0.05). After one week of treatment, the diaphragmatic mobility of patients in both groups was significantly higher than that before treatment (both P<0.01), and that in the treatment group was significantly higher than in the control group (P<0.05). There was no statistically significant difference in the oxygenation index of patients in both groups in the intra-group comparison before treatment and the inter-group comparison after treatment. Conclusions: Pulmonary rehabilitation can effectively shorten the mechanical ventilation time and hospitalization time of patients with SABI, reduce the incidence of VAP and improve the diaphragm muscle mobility, but the improvement of oxygenation index is limited. |
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