摘要
目的 探讨集束化呼吸治疗对体外循环（CPB）心脏术后患者的康复效果。方法 回顾性分析2023—2024年76例患者，随机分为观察组（集束化呼吸治疗）与对照组（常规护理）。结果 实验组机械通气时间（17.8±10.4 h vs.40.6±28.6 h）、ICU滞留时间（3.5±1.1 d vs.4.6±2.3 d）及住院时间（21.8±4.7 d vs.25.7±8.1 d）均显著缩短（P<0.05）；并发症无差异。结论 集束化呼吸治疗可加速术后康复。
关键词： 集束化；呼吸治疗；心脏术后；体外循环；术后康复
Abstract
Objective To investigate the impact of bundled respiratory care on postoperative rehabilitation in patients undergoing cardiac surgery with cardiopulmonary bypass. Methods A retrospective analysis was conducted on 76 patients in 2023, who were randomly divided into an experimental group (bundled respiratory care) and a control group (routine nursing). Results The experimental group showed significantly shorter durations of mechanical ventilation (17.8 ± 10.4 h vs. 40.6 ± 28.6 h, P < 0.05), ICU stay (3.5 ± 1.1 d vs. 4.6 ± 2.3 d, P < 0.05), and hospital stay (21.8 ± 4.7 d vs. 25.7 ± 8.1 d, P < 0.05) compared to the control group. No significant differences were observed in complication rates between the two groups. Conclusion Bundled respiratory care effectively accelerates postoperative recovery in patients undergoing cardiac surgery with cardiopulmonary bypass.
Key words： Bundle; Respiratory therapy; Postoperative cardiac surgery; Extracorporeal circulation; Postoperative rehabilitation
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