量化评估早期四级康复训练对机械通气患者预后的影响

目的 探讨量化评估早期四级康复训练对机械通气患者预后的影响。方法 选择2019年1月-2020年9月收治的142例机械通气患者作为研究对象,采用随机数字法将其分为观察组(n=73)与对照组(n=69),对照组给予常规康复锻炼措施,观察组在对照组基础上给予量化评估的早期四级康复训练。比较2组机械通气时间、住院时间及气管切开率、并发症发生情况、第1秒肺呼气容积(FEV1)、第1秒肺呼气容积/用力肺活量(FEV1/FVC),并记录白细胞计数(WBC)、降钙素原(PCT)及C-反应蛋白(CRP)水平。结果 观察组机械通气时间、住院时间及气管切开率均低于对照组(t=3.044,P<0.001;t=4.231,P<0.001;t=3.861,P=0.049)。观察组获得性肌无力及总并发症发生率均低于对照组(P＜0.05)。2组FEV1、FEV1/FVC、WBC、PCT及CRP在时间效应、组间效应、交互效应上比较,差异均有统计学意义(P＜0.05)。结论 量化评估早期四级康复训练可以更好的降低机械通气患者的炎性反应,促进肺功能恢复,缩短机械通气时间,降低气管切开率。

Effects of early four-stage rehabilitation training based on quantitative evaluation on the prognosis of patients with mechanical ventilation

Objective To explore the effect of early four-stage rehabilitation training based on the quantitative evaluation on the prognosis of patients with mechanical ventilation. Methods A total of 142 patients with mechanical ventilation and admitted to our hospital between January 2019 and September 2020 were selected, and divided into an observation group of 73 and a control group of 69, according to a random number table. Both groups were given routine rehabilitation training, while the observation group was additionally provided with early four-stage rehabilitation training based on the quantitative evaluation. The duration of ventilation, hospital stay, rate of undergoing tracheotomy, death rate, complications, the first second lung expiratory volume (FEV1) and the first second lung expiratory volume/forced vital capacity (FEV1/FVC) were evaluated. Moreover, the white blood cell count (WBC), procalcitonin (PCT) and C-reactive protein (CRP) levels were recorded. Results The mechanical ventilation time, hospital stay and tracheotomy rate of the observation group were significantly lower than that of the control group (t=3.044, P<0.001; t=4.231, P<0.001; t=3.861, P=0.049). The incidence of acquired myasthenia and total complications of the observation group was significantly lower than that of the control group (P＜0.05). Significant differences were found in the average FEV1, FEV1/FVC, WBC, PCT and CRP due to the time, group and interaction effects (P＜0.05). Conclusion The early four-stage rehabilitation training based on quantitative evaluation can better reduce the inflammatory response of patients with mechanical ventilation, promote their recovery of lung function, shorten the time of mechanical ventilation and lower the tracheotomy rate.