进阶式早期康复训练对RICU机械通气患者成功撤机及肺功能的影响OA

Objective To study the effect of advanced early rehabilitation training on successful wea-ning and lung function of patients with mechanical ventilation in respiratory intensive care unit(RICU).Meth-ods A total of 106 RICU patients with mechanical ventilation admitted to the hospital from January 2020 to December 2021 were selected as the study objects.They were randomly divided into group A(n=53)and group B(n=53)by computer numbering method.Group B received routine nursing,while group A received advanced early rehabilitation training on the basis of group B.The ventilator dependence rate,successful wea-ning probability,mechanical ventilation time,hospital stay of RICU,respiratory mechanics index,oxygenation index and functional independence were compared between the two groups.Results The rate of ventilator de-pendence in group A[33.96%(18/53)]was lower than that in group B[58.49%(31/53)],the probability of successful weaning was higher than that in group B,and the mechanical ventilation time and hospital stay of RICU were shorter than those in group B,with statistical significance(P<0.05).The mean airway pressure and peak airway pressure when leaving RICU in both groups were lower than those when entering ICU,and the dynamic compliance,exercise and cognitive scores were significantly higher than those when entering RICU,and all oxygenation indexes were significantly improved.Moreover,the mean airway pressure and peak airway pressure of the patients in group A were significantly lower than those in group B,and the dynamic compliance,exercise and cognitive scores were significantly higher than those in group B,and the improvement degree of various oxygenation indexes was significantly better than that in group B,with statistical significance(P<0.05).Conclusion Advanced early rehabilitation training can improve the probability of successful wea-ning in patients with RICU mechanical ventilation,and is beneficial to the improvement of lung function and functional independence.