6.运动疗法用于重症肺炎机械通气患者的效果观察.pdf

·566· 运动疗法用于重症肺炎机械通气患者的效果观察 冯洁惠1，徐建宁2，高眷华1，略杨1，汤红丹1，王薇1 摘要：目的探讨运动疗法用于重症肺炎机械通气患者的效果。方法将93例重症肺炎患者按入科顺序分为观察 组48例和对照组45例。两组均予机械通气及常规药物治疗，对照组采用常规呼吸道护理，观察组在对照组基础上实施运 动疗法。在机械通气3d、15d、25 d时监测患者潮气量、呼吸频率、氧合指数、心率，比较两组28d预后。结果机械通气 15d、25 d时，观察组潮气量。呼吸频率、氧合指数优于对照组；机械通气25d，观察组心率较对照组慢；观察组28d预后好 于对照组。结论运动疗法能改善重症肺炎机械通气患者的临床症状。 关键词：肺炎；机械通气；运动疗法；护理 Exercise insevere withmechanicall pnemnoniapatients ventilation／／7FENGJie—hulI，XU therapyapplied Jian—nin矿， GAOChnn--hn口l，LU FirstAffiliatedSchoolofMedicine Vane，TANGHong--danI，WANGWeil／11．The Hospital Zhejiang University，H柚gzholl School ChineseMedical Zhejiang310003，China；2．Nersingof珏ejiang University，HangzhouZhejiang 31∞53，China To theeffectexercise in ventilatedwith Al搭tract：Objective of severe study therapyappliedmechanicallypatients Divide93 withsevere intoobservation control pneumooia．Methodpatients pneumonia group(n=48)andgroup(n=45)． Patientsincontrolreceivemechanicalventilationandroutinemedical in treatment．Patientsobservationreceive group group based exercise Onmechanicalventilationandroutinemedicaltreatment．Monitor therapy patientstidal indexandheartrateon and25daftermeehanical the rate，oxygenation 3d，15d ventilation．CompareOil28dof prognosis pa- tientsintWO ResultThetidal rateand indexalebetterinobservationthan groupg volunle，respiratoryoxygenatmn