摘要
肺康复在COPD治疗中的有效性得到国内外学者认可,但用于有创机械通气的COPD重症患者研究甚少.在综述了国内外对ICU有创机械通气的COPD重症患者实施肺康复的研究现状下,提出了把握早期进行肺康复的时机,准确评估增加了肺康复可行性与安全性,制定了符合肺康复的标准,以患者依从性、机械通气时间、意外脱管率、ICU住院日等作为评价指标.旨在提高ICU医护人员对肺康复早期用于机械通气COPD重症患者的认知,进而提升患者的生存质量.
The effectiveness of pulmonary rehabilitation in the treatment of COPD is widely regarded by domestic and abroad scholars,however,there are few studies on the use of invasive mechanical ventilation in patients with severe COPD. This article reviewed the present situation of invasive mechanical ventilation in the ICU patients with severe COPD apply to pulmonary rehabilitation in both home and abroad,described how to grasp the timing of the early pulmonary rehabilitation,increased the feasibility and safety of pulmonary rehabilitation by accurate assessment,established conform to the standard of pulmonary rehabilitation with patients' compliance、the time of mechanical ventilation、accident rate of tube、length of stay in ICU etc. as evaluation index. The purpose of this study is to improve the cognition of ICU medical staff on the early use of lung rehabilitation in patients with severe COPD by mechanical ventilation,so that improve the quality of life of patients.
作者
孙晖
赵娜
于婷婷
左拥军
SUN Hui;ZHAO Na;YU Ting-ting;ZUO Yong-jun(ICU of Dezhou People's Hospital,Dezhou Shandong 253023,China)
出处
《德州学院学报》
2019年第2期37-40,共4页
Journal of Dezhou University
基金
山东省医药卫生科技发展计划项目(2017WSA14116)
关键词
肺康复
ICU
有创机械通气
COPD
Pulmonary rehabilitation
Intensive Care Unit(ICU)
Mechanical ventilation
Chronic Obstructive Pulmonary Disease(COPD)
