首页|期刊导航|中外医学研究|早期阶段性肺康复训练在重症肺炎患者中的实践效果

早期阶段性肺康复训练在重症肺炎患者中的实践效果OA

Practical Effect of Early Phased Pulmonary Rehabilitation Training in Patients with Severe Pneumonia

中文摘要英文摘要

目的:探讨早期阶段性肺康复训练对重症肺炎患者的干预效果.方法:选取 2022 年 1 月—2025 年 5 月龙岩市第一医院收治的 70 例重症肺炎患者作为研究对象,按随机数表法分为对照组和观察组.对照组(35 例)实施常规护理,观察组(35 例)实施国际功能、残疾和健康分类(ICF)理念下的早期阶段性肺康复训练.比较两组干预后肺功能、患者生活质量、实施后临床效果、干预期间并发症发生情况.结果:转出 ICU 当日,观察组用力肺活量(FVC)、1s 用力呼气容积(FEV1)、呼吸峰流量(PEF)均高于对照组,差异有统计学意义(P<0.05);实施后,观察组机械通气时间、ICU 入住时间、住院时间均短于对照组,脱机成功率高于对照组,观察组生活质量综合评定问卷(GQOL-74)评分高于对照组,差异有统计学意义(P<0.05);干预期间,观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:重症肺炎患者采用 ICF 理念下的早期阶段性肺康复训练能改善其肺功能,缩短患者住院时间,帮助患者顺利脱机,同时能降低干预期间并发症发生率,提升患者的生活质量.

Objective:To explore the intervention effect of early phased pulmonary rehabilitation training on patients with severe pneumonia.Method:70 patients with severe pneumonia in the Longyan First Hospital from January 2022 to May 2025 were selected as the research subjects.They were grouped by the random number table method.The control group(35 cases)received routine care,and the observation group(35 cases)received early phased pulmonary rehabilitation training under the concept of ICF.The pulmonary function after intervention,the clinical effect after implementation,the occurrence of complications during the intervention period,and the quality of life of patients after intervention were compared between the two groups.Result:On the day of transfer out of the ICU,the forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),and peak respiratory flow(PEF)in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).After implementation,the mechanical ventilation time,ICU stay time and hospital stay time in the observation group were all shorter than those in the control group,but the weaning success rate was higher than that in the control group the score of the Comprehensive Quality of Life Questionnaire(GQOL-74)in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).During the intervention period,the incidence of complications in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion:Early staged pulmonary rehabilitation training under the ICF concept for patients with severe pneumonia can improve their pulmonary function,shorten their hospital stay,help them weaned off the ventilator smoothly,reduce the incidence of complications during the intervention period,and improve the quality of life of patients.

曹凤玉;蓝雯;张淑慧

龙岩市第一医院 福建 龙岩 364000龙岩市第一医院 福建 龙岩 364000龙岩市第一医院 福建 龙岩 364000

重症肺炎国际功能残疾和健康分类早期阶段性肺康复训练肺功能并发症

Severe pneumoniaInternational functioningDisability and health classificationEarly phased pulmonary rehabilitation trainingPulmonary functionComplications

《中外医学研究》 2026 (9)

124-127,4

10.14033/j.cnki.cfmr.2026.09.032

评论