Effect of early staged lung rehabilitation exercise in patients with severe ARDS

OU Yangfang; HE Juan; MA Yan

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Medical Journal of the Chinese People Armed Police Forces ›› 2021, Vol. 32 ›› Issue (11) : 937-941.

Effect of early staged lung rehabilitation exercise in patients with severe ARDS

OU Yangfang¹, HE Juan², MA Yan¹

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Abstract

Objective To observe the efficacy of early staged lung rehabilitation exercise in patients with severe acute respiratory distress syndrome (ARDS). Methods A total of 60 patients with severe ARDS treated in our hospital between January 2018 and December 2019 were selected. They were randomly divided into the control group and test group, with 30 cases in each. The control group received conventional treatment while the test group was additionally subjected to early staged lung rehabilitation exercise. The changes of pulmonary ventilation function, arterial blood gas indexes and scores of quality of life were observed before and after treatment and compared between the two groups after treatment. The duration of mechanical ventilation, ICU stay, hospital stay and the incidence of ventilator-associated pneumonia were recorded. Results After treatment, the forced expiratory volume in 1 second (FEV₁), the FEV₁/forced vital capacity ratio and scores of quality of life were all improved, while PaO₂, SpO₂ and oxygenation indexes were increased in both groups (P<0.05), especially in the test group (P<0.05). Levels of PaO₂ [(44.18±5.06) vs (49.47±5.24)] were lower in the test group than in the control group (P<0.05).The duration of mechanical ventilation [(2.74±0.90) vs (3.98±1.22)], ICU stay [(3.19±1.03) vs (4.27±1.15)] and hospital stay [(10.98±2.13) vs (13.76 ±2.69)] were shorter (P<0.05) and the incidence of ventilator-associated pneumonia was lower in the test group (3.33% vs 20.00%) (P<0.05). Conclusions The combination of conventional treatment, with early staged lung rehabilitation exercise can more effectively improve the pulmonary ventilation function, reduce the risk of ventilator-associated pneumonia and improve the quality of life among patients with severe ARDS.

Key words

early staged / acute respiratory distress syndrome / lung rehabilitation exercise / oxygenation index / ventilator-associated pneumonia

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OU Yangfang, HE Juan, MA Yan. Effect of early staged lung rehabilitation exercise in patients with severe ARDS[J]. Medical Journal of the Chinese People Armed Police Forces. 2021, 32(11): 937-941

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