呼吸训练器联合综合康复训练在呼吸重症患者中的应用效果分析OA

Objective To investigate the application effect of respiratory trainer combined with comprehensive rehabilitation training in patients with severe respiratory disease.Methods A total of 88 patients with severe respiratory disease admitted to the Respiratory Intensive Care Unit of the First Affiliated Hospital of Xinjiang Medical University from 2023 to 2024 were selected as the study subjects.Using the random number table method,the patients were divided into the control group and the observation group,with 44 cases in each group.The control group received comprehensive rehabilitation training,while the observation group performed training using respiratory trainer in addition to the regimen of the control group.Both groups were trained for 1 month.The respiratory function indicators(mean airway pressure,peak inspiratory pressure,dynamic compliance),oxygenation function indicators(arterial partial pressure of oxygen,arterial carbon dioxide partial pressure,oxygen saturation),and the scores of each dimension of Functional Independence Measure(FIM)before training and after 1 month of training,and the incidence of complications during training were compared between the two groups.Results After 1 month of training,the mean airway pressure and peak inspiratory pressure in the observation group were significantly lower than those in the control group,while the dynamic compliance was significantly higher than that in the control group(P<0.05).Compared with before training,both groups showed significantly decreased mean airway pressure and peak inspiratory pressure,and significantly increased dynamic compliance after 1 month of training(P<0.05).After 1 month of training,arterial partial pressure of oxygen and oxygen saturation in the observation group were significantly higher than those in the control group,whereas the arterial carbon dioxide partial pressure was significantly lower than that in the control group(P<0.05).Compared with before training,both groups had significantly increased arterial partial pressure of oxygen and oxygen saturation,and significantly decreased arterial carbon dioxide partial pressure after 1 month of training(P<0.05).After 1 month of training,the scores of social cognition,transfers,self-care,locomotion,communication,and sphincter control dimensions in the observation group were significantly higher than those in the control group(P<0.05).Compared with before training,both groups demonstrated significantly increased scores of these dimensions after 1 month of training(P<0.05).There was no statistically significant difference in the total incidence of complications during training between the two groups(P>0.05).Conclusion Respiratory trainer combined with comprehensive rehabilitation training have high application effect in patients with severe respiratory disease.It can effectively improve patients'respiratory function and oxygenation function,enhance neuromuscular function,and demonstrate a high safety profile.