早期渐进性康复训练在机械通气重症病人中的应用价值

徐鹏; 谭慧; 彭晓玉; 夏丽淋; 张娥; 舒荣财

doi:10.13898/j.cnki.issn.1000-2200.2021.12.037

早期渐进性康复训练在机械通气重症病人中的应用价值

Application value of early progressive rehabilitation training in severe patients with mechanical ventilation

摘要

摘要:
目的研究早期渐进性康复训练在机械通气重症病人中的应用价值。
方法选取92例机械通气重症病人随机分为观察组和对照组，各46例。对照组采取常规机械通气干预、治疗，观察组在对照组的基础上加以早期渐进性康复训练。观察记录2组病人住院情况，采用功能独立性评分表（FIM）对2组病人拔除气管插管、转出ICU以及出院时的功能独立性水平进行评估分析，并对比2组并发症的发生率。
结果观察组病人的机械通气时间、ICU监护时间、出院时间与对照组相比明显缩短（P < 0.01）；观察组病人拔除气管插管、转出ICU、出院时的FIM评分总分水平与对照组相比明显增高（P < 0.01）；观察组的并发症总发生率低于对照组（P < 0.05）。
结论早期渐进性康复训练能够有效改善病人肌肉神经功能，提升病人功能独立性，减少并发症发生率。

Abstract:
ObjectiveTo study the application value of early progressive rehabilitation training in severe patients with mechanical ventilation.
MethodsNinety-two patients with severe mechanical ventilation were randomly divided into the observation group and control group(46 cases in each group). The control group was treated with conventional mechanical ventilation intervention, and the observation group was treated with early progressive rehabilitation training on the basis of the control group. The hospitalization status in the groups were observed and recorded. The functional independence levels in two groups were evaluated using the functional independence scale(FIM) after tracheal intubation removal, ICU transfer and discharge, and the incidence rate of complications was compared between the two groups.
ResultsThe mechanical ventilation time, ICU monitoring time and discharge time in observation group were significantly shorter than those in control group(P < 0.01). The total score of FIM at tracheal intubation removal, ICU transfer and discharge in observation group were significantly higher than those in control group(P < 0.01). The total incidence rate of complications in observation group was less than that in control group(P < 0.05).
ConclusionsEarly progressive rehabilitation training can effectively improve patients' muscle and nerve function, improve patients' functional independence, and reduce the incidence rate of complications.

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