ABSTRACT
Objective:To explore the effects of grading pulmonary rehabilitation nursing on weaning trend among patients with mechanical ventilation in ICU.Methods:A total of 68 patients with mechanical ventilation from May 2018 to May 2019 in ICU of Guangzhou Red Cross Hospital were divided into the experimental group and the control group with 34 cases in each group by random digits table method. The control group was given routine rehabilitation nursing and the experimental group was given graded pulmonary rehabilitation nursing based on routine nursing. The differences between the two groups were compared in terms of rapid shallow breathing index(RSBI), oxygenation index, mechanical ventilation time, hospitalization time, success rate of weaning and incidence of complications.Results:On the 5th day and the 7th day after the intervention, the RSBI were 80.59 ± 5.69 and 75.74 ± 8.62 in the experimental group, which were significantly lower than those in the control group (89.54 ± 8.96 and 85.15 ± 9.75), ( t=5.06 and 4.28, both P<0.05). On the 3th, 5th, 7th day after the intervention, the oxygenation index were (244.82 ± 22.77), (248.21 ± 17.49) and (263.79 ± 17.31) mmHg in the experimental group, which were significantly lower than those in the control group (137.41 ± 15.01), (192.79 ± 15.82) and (206.26 ± 17.40) mmHg, ( t=22.97, 13.70, 13.67, all P<0.05). The duration of mechanical ventilation, length of ICU stay and the incidence of ventilator-associated pneumonia, deep venous thrombosis were (11.29 ± 1.38) days, (12.47 ± 1.73) days and 0, 0 in the experimental group, which were significantly lower than those in the control group (12.18 ± 1.47) days, (13.53 ± 1.62) days and 11.8%(4/34), 14.7%(5/34). The withdrawal success rate was 94.1%(32/34) in the experimental group, significantly higher than that in the control group 76.5% (26/34), the difference was statistically significant ( χ2=4.22, P<0.05). Conclusions:Grading pulmonary rehabilitation nursing can improve the respiratory function, shorten the time of mechanical ventilation and the length of ICU hospitalization, as well as reduce the occurrence of complicaitons.
ABSTRACT
Objective The efficacy and safety of rectal instillation with formula for clearing heat, eliminating phlegm and relaxing bowel on treating encephalopathy complicated with pulmonary infection were evaluated by randomized controlled clinical trials. Methods Eighty eligible cases of encephalopathy complicated with pulmonary infection were randomly divided into treatment group and control group. Control group was given conventional treatment and treatment group was given rectal instillation treatment with formula for clearing heat , eliminating phlegm and relaxing bowel. The changes of index were observed before and after treatment in two groups including temperature,antifebrile time,white blood cell count,neutrophils ratio,C-reactive protein,procalcitonin, pneumonia severity index,and the efficacy score of TCM syndrome. Results Rectal instillation with formula for clearing heat and eliminating phlegm to relax bowel can be better improved encephalopathy complicated with pulmonary infection with syndrome of phlegm-heat obstructing in which the patients have yellow sputum, constipation,yellow urinary and other symptoms. It can reduce TCM syndrome score and level of serum calcitonin, relieve inflammation,enhanc antibacterial effect,and improve the clinical curative effect. Conclusions The curative effects of rectal instillation with formula for clearing heat and eliminating phlegm to relax bowel on treating encephalopathy complicated with pulmonary is definite which has no adverse reaction and safety use. It is worthy of further popularizing in clinic.