摘要
目的:分析早期束集化肺康复干预策略在老年重症肺部感染患者中的应用价值。方法:选择2020年1月—2022年8月北京市大兴区中西医结合医院收治的80例老年重症肺部感染患者为研究对象。按照干预方式的不同,将其分为对照组(n=35)、观察组(n=45),对照组实施常规干预,观察组在常规干预基础上实施早期束集化肺康复干预策略。比较两组的临床相关指标,干预前后的营养指标、血气指标,谵妄发生情况及不良事件发生情况。结果:观察组的机械通气时间、ICU住院时间均显著短于对照组,差异有统计学意义(P<0.05)。干预1周后,两组的白蛋白、前白蛋白、血红蛋白、动脉血氧分压、血氧饱和度均高于干预前,且观察组的上述指标均高于对照组,差异有统计学意义(P<0.05)。观察组谵妄发生率低于对照组,谵妄持续时间明显短于对照组,差异有统计学意义(P<0.05);观察组的不良事件发生率为20.00%,明显低于对照组的42.86%,差异有统计学意义(P<0.05)。结论:对老年重症肺部感染患者实施早期束集化肺康复干预策略的效果较好,有助于减少ICU机械通气时间及ICU住院时间,减少呼吸机相关肺炎、深静脉血栓形成等不良事件的发生,进而促进患者早日康复。
Objective:To analyze the application value of early bunching pulmonary rehabilitation intervention strategy in elderly patients with severe pulmonary infection.Method:A total of 80 elderly patients with severe pulmonary infection admitted to Beijing Daxing District Integrated Chinese and Western Medicine Hospital from January 2020 to August 2022 were selected as the study objects.According to the different intervention methods,they were divided into control group(n=35)and observation group(n=45).The control group received routine intervention,while the observation group received early bunching pulmonary rehabilitation intervention strategy on the basis of routine intervention.The clinical related indicators,nutritional indicators,blood gas indicators before and after intervention,delirium incidence,and adverse events between the two groups were compared.Result:The mechanical ventilation time and ICU hospitalization time of the observation group were significantly shorter than those of the control group,and the differences were statistically significant(P<0.05).After 1 week of intervention,albumin,prealbumin,hemoglobin,arterial partial pressure of oxygen and oxygen saturation in the two groups were higher than those before intervention,and the above indicators in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence rate of delirium in the observation group was lower than that in the control group,and the duration of delirium was shorter than that in the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was 20.00%,significantly lower than 42.86%in the control group,the difference was statistically significant(P<0.05).Conclusion:For the elderly patients with severe pulmonary infection,the implementation of early bunching pulmonary rehabilitation intervention strategy has a good effect,which helps to reduce the time of ICU mechanical ventilation and ICU hospitalization,reduce the occurrence of adverse events such as ventilator related pneumonia,deep vein thrombosis,and further promote the early recovery of patients.
作者
亢凤兵
白娜娜
窦微微
郝爱慈
田若晨
KANG Fengbing;BAI Nana;DOU Weiwei;HAO Aici;TIAN Ruochen(Beijing Daxing District Hospital of Integrated Chinese and Western Medicine,Beijing 100067,China;不详)
出处
《中外医学研究》
2023年第16期177-181,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
大兴区中西医结合医院院级科研课题项目(DXZXYZ202015)。
关键词
早期束集化肺康复干预策略
老年
重症肺部感染
谵妄
营养指标
Early bunching pulmonary rehabilitation intervention strategy
Elderly
Severe pulmonary infection Delirium
Nutritional indices
