Application of sequential muscle exercise combined with extracorporeal diaphragm pacing intervention in patients with non-invasive mechanical ventilation
WANG Wenmin
FENG Yan
Abstract：Objective To explore the effect of sequential muscle exercise combined with external diaphragm pacing(EDP)intervention on patients with non-invasive mechanical ventilation.Methods A total of 108 patients who underwent non-invasive mechanical ventilation in the hospital between May 2021 and 2023 were selected and randomly divided into a control group and an observation group,each of 54.Both groups were given EDP intervention,while the observation group was additionally provided with sequential muscle exercise.Before and after the intervention,the diaphragmatic function,blood gas indexes,success rate of weaning,duration of mechanical ventilation and ICU stay were compared between the two groups.Results The diaphragmatic excursion(DE),end-inspiratory diaphragmatic thickness(EIDT),end-expiratory diaphragmatic thickness(EEDT),arterial partial pressure of oxygen(PaO2),oxygenation index(OI)and success rate of ventilator weaning in the observation group were significantly higher than that of the control group(t=-3.818,P＜0.001;t=-2.186,P=0.031;t=-2.644,P=0.009;t=-2.780,P=0.006;χ2 =4.267,P=0.039;t=-2.241,P=0.027),while the mechanical ventilation duration and length of ICU stay were significantly shorter than the latter(t=6.227,P＜0.001;t=3.739,P＜0.001),and the PaCO2 was significantly lower than the latter(t=6.458,P＜0.001).Conclusion The combined intervention of sequential muscle exercise and EDP is effective for patients undergoing non-invasive mechanical ventilation,which can shorten the time to ventilation,increase the success rate of weaning and improve the patients'diaphragmatic function.
Keywords：Sequential muscle exerciseExtracorporeal diaphragm pacingNon-invasive mechanical ventilationDiaphragmatic function
Publication Date：2024-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 218-221 )