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Effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia

机译:综合肺康复治疗对严重肺炎患者肺功能和血气指标的影响

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In this study we try to observe the effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia during mechanical ventilation. A total of 120 patients with severe pneumonia were selected and divided into the experimental group (n=60) and the control group (n=60) through a random number table. Conventional therapy for severe pneumonia was applied to patients in both groups, and the experimental group was additionally treated with comprehensive pulmonary rehabilitation therapy, including warming-up exercise before training, respiratory function exercise, respiratory muscle training, health education, psychological support and nutritional intervention. The pulmonary function indexes, blood gas indexes, Borg index scores and 6-min walk distance (6MWD) of the two groups of patients were evaluated before treatment and at 6 months after treatment, respectively. In the control group, there were statistically significant differences only in forced expiratory volume in 1 sec (FEV1), ratio of FEV1 to forced vital capacity (FEV1/FVC), partial pressure of O-2 (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Borg index and 6MWD after treatment compared with those before treatment (P0.05); as for intra-group comparisons, there were no significant improvements in other indexes compared with those before treatment, and the differences were not statistically significant (P0.05). In the experimental group, all the indexes after treatment were statistically different from those before treatment and those after treatment in the control group (P0.05); with regard to comparisons of the indexes between the control group and the experimental group, the differences were significant (P0.05). Comprehensive pulmonary rehabilitation therapy is conducive to improving the pulmonary functions and blood gas indexes of patients with severe pneumonia during mechanical ventilation.
机译:在这项研究中,我们试图观察综合性肺康复治疗对机械通气期间严重肺炎患者肺功能和血气指标的影响。通过随机数表选择共选出120例严重肺炎患者并分为实验组(n = 60)和对照组(n = 60)。常规治疗严重肺炎的患者对两组的患者,并且实验组另外用综合性肺康复治疗治疗,包括培训前的预热运动,呼吸功能运动,呼吸肌训练,健康教育,心理支持和营养干预。两组患者的肺功能指数,血液索引,Borg指数分别和6分钟步行距离(6MWD)分别在治疗前和治疗后6个月进行评估。在对照组中,仅在1秒(FEV1)中的强制呼气量,FEV1的比率(FEV1 / FVC),O-2(PAO2)的分压,碳的动脉部分压力,碳的分压与治疗前的那些相比治疗后二氧化碳(PACO2),Borg指数和6MWD(P <0.05);对于群体内比较,与治疗前的那些相比,其他指标没有显着改善,差异没有统计学意义(P&GT; 0.05)。在实验组中,治疗后的所有指标与治疗前的统计学不同,并在对照组中处理后的那些(P <0.05);关于对照组与实验组之间指标的比较,差异很大(P <0.05)。综合性肺康复治疗有利于在机械通气期间改善严重肺炎患者的肺功能和血气指标。

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