徐小莉　蒋珊珊

【摘要】 目的：探讨早期分阶段肺康复锻炼治療重症ARDS的效果。方法：选取2018年12月-2020年6月笔者所在医院ICU住院的62例重症ARDS患者，将其随机分为试验组（30例）和对照组（32例）。对照组进行常规治疗，试验组在对照组的基础上进行早期分阶段肺康复锻炼治疗。比较两组治疗前、治疗3、7、14 d后的氧合指数、ICU住院时间、呼吸机使用时间、带管时间及并发症发生率。结果：治疗3、7、14 d后试验组氧合指数均显著高于对照组，差异有统计学意义（P<0.05）。试验组ICU住院时间、呼吸机使用时间和带管时间均短于对照组，差异有统计学意义（P<0.05）。试验组并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。结论：早期分阶段肺康复锻炼可以有效改善重症ARDS患者的氧合指数和恢复情况，治疗效果显著，可降低并发症发生率，值得在临床上推广。

【关键词】 早期分阶段肺康复锻炼 重症ARDS患者 效果观察

doi：10.14033/j.cnki.cfmr.2020.21.072 文献标识码 B 文章编号 1674-6805（2020）21-0-03

Observation on the Effect of Early Stage Lung Rehabilitation Exercise on Severe ARDS/XU Xiaoli， JIANG Shanshan. //Chinese and Foreign Medical Research， 2020， 18（21）： -178

[Abstract] Objective： To explore the effect of early stage lung rehabilitation exercise on severe ARDS. Method： A total of 62 patients with severe ARDS hospitalized in ICU of our hospital from December 2018 to June 2020 were selected. They were randomly divided into the experimental group （n=30） and the control group （n=32）. The control group received routine treatment， and the experimental group received early stage lung rehabilitation exercise treatment on the basis of the control group. The oxygenation index before treatment， 3， 7， and 14 d after treatment， ICU hospitalization time， ventilator use time， catheter time and incidence of complications were compared between the two groups. Result： After 3， 7 and 14 d of treatment， the oxygenation index of the experimental group were significantly higher than those of the control group， the differences were statistically significant （P<0.05）. The ICU hospitalization time， ventilator use time and catheter time of the experimental group were shorter than those of the control group， the differences were statistically significant （P<0.05）. The incidence of complications of the experimental group was significantly lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Early stage lung rehabilitation exercise can effectively improve the oxygenation index and recovery of patients with severe ARDS. The treatment effect is significant， and can reduce the incidence of complications， which is worthy of clinical promotion.

[Key words] Early stage lung rehabilitation exercise Patients with severe ARDS Effect observation

First-authors address： The First Affiliated Hospital of Fujian Medical University， Fuzhou 350005， China

急性呼吸窘迫综合征（acute respiratory distress syndrome，ARDS），主要是由肺内原因或肺外原因引起的，临床特征是低氧血症，该病的致死率较高，严重威胁着人类的生命安全[1-3]。该病的发病原因繁多，不同病因导致发病机制也不尽相同，其中最为常见的是间接肺损伤[4]。本文选取2018年12月-2020年6月在笔者所在医院ICU住院的62例重症ARDS患者作为研究对象进行研究，现报道如下。

1 资料与方法

1.1 一般资料

本文选取2018年12月-2020年6月在笔者所在医院ICU住院的62例重症ARDS患者作为研究对象进行研究，纳入标准：大于18岁;诊断结果显示为重症ARDS，且氧合指数小于250 mm Hg。排除标准：（1）行机械通气昏迷患者;（2）伴随骨折未固定或有活动性出血的患者。将患者随机分为对照组（32例）和试验组（30例）。其中对照组男19例，女13例;最小年龄46岁，最大年龄70岁，平均（57.31±4.17）岁。试验组男17例，女13例;最小年龄47岁，最大年龄69岁，平均（56.83±4.12）岁。两组一般资料比较差异无统计学意义（P>0.05），有可比性。

1.2 方法

对照……