多学科会诊模式下综合呼吸训练在脊髓损伤患者气道护理中的应用

Application of comprehensive respiratory training under multi-disciplinary treatment mode in airway nursing of patients with spinal cord injury

  • 摘要:
      目的  探讨多学科会诊(MDT)模式下综合呼吸训练在脊髓损伤患者气道护理中的应用效果。
      方法  选取100例患者为研究对象,依据入院顺序将患者随机分为实验组(采用MDT模式)和对照组(采用传统康复模式),每组50例。实验组采取MDT模式下综合呼吸训练方法,对照组采取传统气道护理方法。比较2组干预前、干预2个月患者肺部通气功能指标、数字评价量表(NRS)评分、Borg呼吸困难与疲劳程度评分及不良事件发生率。
      结果  与干预前相比,2组干预2个月时用力肺活量(FVC)、第1秒用力呼气量(FEV1)、用力呼出25%肺活量的呼气流量(FEF25%)和最大呼气流量(PEF)均升高,实验组干预2个月FVC、FEV1、FEF25%和PEF高于对照组,差异有统计学意义(P < 0.05)。与干预前相比,2组干预2个月NRS及Borg评分均降低,且实验组NRS及Borg呼吸困难与疲劳程度评分低于对照组,差异有统计学意义(P < 0.05)。
      结论  MDT模式下综合呼吸训练可获得更好的肺部通气功能指标,改善脊髓损伤患者的疼痛程度、呼吸困难和疲劳感,有利于促进患者康复。

     

    Abstract:
      Objective  To explore the effect of comprehensive respiratory training under multi-disciplinary treatment (MDT) mode in airway nursing of patients with spinal cord injury.
      Methods  A total of 100 patients were selected as objects, and were randomly divided into experimental group (MDT mode) and control group (traditional rehabilitation mode) according to the admission order, with 50 cases in each group. The experimental group adopted the comprehensive respiratory training method under MDT mode, and the control group adopted the traditional airway nursing method. The pulmonary ventilation function indexes, numerical rating scale(NRS), Borg dyspnea and fatigue score and incidence of adverse events of the two groups before and 2 months after intervention were compared.
      Results  Compared with before intervention, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), forced expiratory flow at 25% of FVC (FEF25%) and peak expiratory flow (PEF) in the two groups were all increased at 2 months of intervention, and the above indicators in the experimental group were higher than those in the control group (P < 0.05). Compared with before intervention, NRS and Borg scores in both groups were decreased two months after intervention, and NRS and Borg scores in the experimental group were lower than those in the control group (P < 0.05).
      Conclusion  Comprehensive breathing training under MDT mode can obtain better indexes of pulmonary ventilation function, improve the pain degree, dyspnea and fatigue of patients with spinal cord injury, and promote their recovery.

     

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