摘要
目的 深入探究多学科协作临床康复一体化模式下早期肺康复治疗在机械通气患者中的疗效。方法在2024年1月到2025年1月，从重症医学科选了100个机械通气治疗的患者，随机分成两组，每组50人。对照组用常规护理，观察组在常规护理基础上，用多学科协作临床康复一体化模式下的早期肺康复治疗。然后对比两组患者的机械通气时间、ICU住院时间、呼吸机相关性肺炎发生情况，还有动脉血氧分压和动脉血氧二氧化碳分压这些指标。结果 观察组机械通气时间和ICU住院时间比对照组短（P＜0.05）；呼吸机相关性肺炎发生率比对照组低（P＜0.05）；动脉血氧分压比对照组高，动脉血氧二氧化碳分压比对照组低（P＜0.05）。结论 多学科协作临床康复一体化模式下的早期肺康复治疗能改善机械通气患者的血气指标，缩短机械通气和ICU住院时间，降低呼吸机相关性肺炎的发生几率，有较高应用价值。
关键词： 多学科协作；临床康复一体化模式；早期肺康复治疗；机械通气
Abstract
Objective In depth exploration of the efficacy of early pulmonary rehabilitation treatment in mechanically ventilated patients under the interdisciplinary collaborative clinical rehabilitation integration model. Methods From January 2024 to January 2025, 100 patients undergoing mechanical ventilation treatment were selected from the intensive care unit and randomly divided into two groups, with 50 patients in each group. The control group received routine nursing care, while the observation group received early lung rehabilitation treatment under a multidisciplinary collaborative clinical rehabilitation integrated model on the basis of routine nursing care. Then compare the mechanical ventilation time, ICU stay, incidence of ventilator-associated pneumonia, arterial oxygen partial pressure, and arterial oxygen carbon dioxide partial pressure between the two groups of patients. Results The mechanical ventilation time and ICU stay in the observation group were shorter than those in the control group (P<0.05); The incidence of ventilator-associated pneumonia was lower in the control group than in the control group (P<0.05); The arterial oxygen partial pressure was higher than the control group, while the arterial oxygen carbon dioxide partial pressure was lower than the control group (P<0.05). Conclusion Early pulmonary rehabilitation treatment under the multidisciplinary collaborative clinical rehabilitation integration model can improve blood gas indicators in mechanically ventilated patients, shorten the duration of mechanical ventilation and ICU stay, and reduce the incidence of ventilator-associated pneumonia. It has high application value.
Key words： Multidisciplinary collaboration; Integrated clinical rehabilitation model; Early pulmonary rehabilitation treatment; Mechanical ventilation
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