| 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. |
