中国康复2026，Vol.41Issue(1)：27-30,4.DOI:10.3870/zgkf.2026.01.005
体外膈肌起搏联合分阶段康复训练对慢阻肺急性加重期机械通气患者的疗效观察
Influence of external diaphragm pacing combined with staged rehabilitation training on the therapeutic effect of mechan-ical ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease
摘要
Abstract
Objective:To explore the effect of extracorporeal diaphragmatic pacing(EDP)combined with staged rehabilitation training on acute exacerbation of chronic obstructive pulmonary disease(AECOPD),as well as its im-pacts on blood gas indicators and quality of life of patients.Methods:A total of 94 patients with AECOPD admitted to our hospital were selected and divided into the phase training group and the EDP group by the random number ta-ble method.The phase training group was given staged rehabilitation training,while the EDP group was subjected to the combined therapy of staged rehabilitation training and EDP.After the intervention ended,clinical related indi-cators,blood gas analysis indicators,inflammatory factor levels,quality of life,and adverse event situations were compared between two groups.Results:The EDP group had significantly shorter time for ICU stay,weaning,and hospitalization than the phase training group(P＜0.01).The EDP group had significantly higher oxygenation index and arterial partial pressure of oxygen(PaO2)than the phase training group(P＜0.05,0.01).The levels of eryth-rocyte sedimentation rate(ESR),PaCO2,white blood cell count(WBC),acute physiology and chronic health eval-uation Ⅱ(APACHE Ⅱ),C-reactive protein(CRP),serum D-dimer(D-D),and procalcitonin(PCT)in the EDP group were significantly lower than those in the phase training group(P＜0.01).The EDP group had a significantly lower incidence of adverse events than the phase training group(P＜0.05).Conclusion:The combined intervention of EDP and staged rehabilitation training in AECOPD patients can effectively enhance diaphragm activity and pro-mote lung function recovery,with ideal results and certain clinical value.关键词
慢性阻塞性肺疾病/急性加重期/体外膈肌起搏/康复训练/血气分析Key words
chronic obstructive pulmonary disease/acute exacerbation period/extracorporeal diaphragmatic pa-cing/rehabilitation training/blood gas analysis分类
医药卫生引用本文复制引用
李影,孙丽,程羽萱,王艳娟..体外膈肌起搏联合分阶段康复训练对慢阻肺急性加重期机械通气患者的疗效观察[J].中国康复,2026,41(1):27-30,4.基金项目
北京市中关村医院科研培育专项项目(HX202307) （HX202307）
