Effect of early progressive comprehensive pulmonary rehabilitation exercise combined with physical intervention of chest and lung on respiratory function and prognosis of severe pneumonia patients with mechanical ventilation
Xia Maohong
Ma Wentong
Gao Chunzi
Abstract：Objective To investigate the effect of early progressive comprehensive pulmonary rehabilitation exercise combined with physical intervention of chest and lung on respiratory function and prognosis of patients with severe pneumonia who require mechanical ventilation.Methods 84 patients with severe pneumonia who were treated with mechanical ventilation in our hospital from July 2022 to May 2024 were selected.The patients were divided into two groups based on different intervention plans:the control group of 42 patients received early progressive comprehensive pulmonary rehabilitation exercise,and the observation group of 42 patients received early progressive comprehensive pulmonary rehabilitation exercise combined with pulmonary physical intervention.The respiratory function,prognosis,adverse event occurrence and weaning outcomes of the two groups were compared.Results After interventio,the MIP,PEF and OI of the observation group were higher than that of control group(t=5.919,3.451,7.225,P＜0.05).The CPIS,APACHE Ⅱ score of the observation group were lower than that of control group(t=5.880、4.310,P＜0.05).In the observation group,the incidence of adverse events was 4.76％,which was lower than 21.43％in the control group(x2=5.126,P＜0.05).In the observation group,the success rate of the first withdrawal higher than the control group(x2=4.941,P＜0.05),and the mechanical ventilation time and ICU stay time in the observation group were shorter than those in the control group(t=7.109,5.279,P＜0.05).Conclusion Early progressive comprehensive pulmonary rehabilitation exercise combined with physical intervention of chest and lung can effectively improve the respiratory function of patients with severe pneumonia through mechanical ventilation,further improve the prognosis,and reduce the occurrence of adverse events,thereby facilitating smooth weaning.
Keywords：Early comprehensive pulmonary rehabilitation exercisePhysical intervention of chest and lungMechanical ventilationSevere pneumoniaRespiratory function
Publication Date：2025-06-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 415-418 )