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康复治疗对机械通气2周以上患者脱机成功率及脱机时间的影响 被引量:7

Effects of rehabilitation on patients dependent on mechanical ventilation
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摘要 目的 探索早期介入康复治疗对呼吸机依赖患者脱机成功率和脱机时间的影响.方法 呼吸机依赖患者84例分为康复组44例和对照组40例,对照组仅接受常规脱机治疗,康复组在常规脱机治疗的基础上早期介入正规的康复治疗.2组患者均于治疗3周后观察脱机成功率及脱机时间.结果 康复组和对照组治疗3周后脱机成功率分别是88.6%和60%,脱机时间分别是(6.8±3.8)d和(14.3±5.2)d;康复组与对照组相比差异均有统计学意义(P<0.01).结论 早期介入康复治疗可以明显提高呼吸机依赖患者脱机成功率和缩短脱机时间. Objective To explore weaning dependent patients off mechanical ventilation through rehabilitative treatment. Methods Eighty-four patients dependent on mechanical ventilation were randomly divided into a rehabilitation group (n =44) and a control group (n =40). All were treated with routine medication, but in addition patients in the rehabilitation program followed a rehabilitation program. Three weeks later, the success rates and the time of weaning off mechanical ventilation were observed in the two groups. Results In the rehabilitation group,88.6% of the patients were successfully weaned off mechanical ventilation, versus 60% of the control group. The respective average weaning times were 6.8 ± 3.8 days and 14.3 ± 5.2 days. Both differences were statistically significant. Conclusions Rehabilitative treatment improves the weaning success rate and reduces the time needed for weaning mechanical ventilation-dependent patients.
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2011年第1期47-49,共3页 Chinese Journal of Physical Medicine and Rehabilitation
关键词 呼吸机依赖 脱机 康复治疗 Mechanical ventilation dependency Weaning Rehabilitative treatment
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