ERS Respiratory Channel

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Abstract

Introduction

To study the intervention effect of early pulmonary rehabilitation on intensivecare unit (ICU) patients with chronic obstructive pulmonary disease (COPD) combined with severe respiratory failure.

Methods

From February 2019 to August 2020the hospital RICU Department treated 62 cases of COPD with severe respiratory failure in patients with mechanical ventilation were randomly divided into control group (routine treatment) and rehabilitation group (30 cases of pulmonary rehabilitation combined with routine treatment) in 32 cases, the control group received the bed active or passive full range of motion. Two times a day; in the rehabilitation group patients in the control group based on the use of early rehabilitation intervention, two times a day. The two groups were compared with the time of mechanical ventilation, the number of days of ICU hospitalization, the number of days of total hospitalization, mortality and mortality of ventilator related complications.

Results

The rate of re intubation, total mechanical ventilation and ICU days were reduced in the rehabilitation group compared with the control group (all P < 0.05).

Conclusions

Early rehabilitation can shorten the duration of mechanical ventilation, reduce ventilator-associated pneumonia, neuromuscular atrophy and deep vein thrombosis in ICU patients with severe chronic respiratory failure, and shorten the length of hospital stay.

Abstract

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