肺康复和呼吸肌训练对急性呼吸窘迫患者的影响

Sasmitha R, Rekha. K, Saravan Kumar. J, Preethi G
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摘要

背景:急性呼吸窘迫综合征(ARDS)是由肺部微小而灵活的气囊内积液引起的。急性呼吸窘迫综合征患者可能会出现肌肉无力的症状,这种情况被称为重症监护室获得性肌无力,从而导致身体功能受损。为了减轻潜在的并发症,即肌无力和关节挛缩,并帮助ARDS患者从机械呼吸中断奶和提高整体生活质量,我们强烈建议患者尽早进行康复治疗。目的:比较肺康复治疗和呼吸肌训练对ARDS患者常规护理的效果。这些受试者被分配到肺康复与呼吸肌训练组(15 人)和常规护理组(15 人),在 4 周结束时使用 30 秒坐立测试和圣乔治呼吸问卷评估治疗效果:结果:对收集到的数据采用了描述性和推论性统计方法。所有参数均采用平均值和标准差进行分析。为分析测试前和测试后测量的显著差异,进行了配对 t 检验。P 值小于 0.0001 则具有统计学意义:肺康复与呼吸肌训练的结合为ARDS患者提供了一种辅助治疗方案,提高了患者的生活质量,并改善了肌肉活动强度,优于单纯的常规护理。
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Effects of Pulmonary Rehabilitation and Respiratory Muscle Training in Individuals with Acute Respiratory Distress
Background: Acute Respiratory Distress Syndrome (ARDS) arises from accumulation of fluid in the tiny, flexible airsacs of the lungs. Individuals with ARDS may experience muscle weakness, due to a condition known as intensivecare unit acquired weakness, resulting in impaired physical function. To mitigate potential complications namelymuscle weakness and joint contractures, and to assist with weaning from mechanical breathing and enhance theoverall quality of life for individuals with ARDS, early rehabilitation is strongly advised.Purpose: To compare the effectiveness of pulmonary rehabilitation and respiratory muscle training againstconventional care among individuals with ARDS.Materials and Methods: 30 subjects diagnosed with ARDS were randomly selected from the intensive care unit orpatient ward of Saveetha Hospital following certain inclusion and exclusion criteria. The subjects were allocatedinto pulmonary rehabilitation with respiratory muscle training group (n=15) and conventional care group (n=15).The effectiveness of the treatments was assessed at the end of 4 weeks using a 30 seconds sit-to-stand test and St.George’s Respiratory Questionnaire.Results: Descriptive and inferential statistics were used to examine the data collected. All parameters underwentanalysis employing mean and standard deviation. To analyze significant differences, pre-test and post-testmeasures, a paired t-test was performed. P values < 0.0001 were deemed statistically significant.Conclusion: The combination of pulmonary rehabilitation and respiratory muscle training offered an adjunctivetreatment option for patients with ARDS, providing quality of life, and improving strength of the muscle activitiescompared to conventional care alone.
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