應用肺部復原治療於加護病房之成效初探

Effects of Pulmonary Recondition Therapy in Intensive Care Unit Patients-A Preliminary Report

吳淑芬(Shu-Fen Wu) ； 吳清平(Chin-Pyng Wu) ； 謝國洲(Kuo-Chou Hsieh) ； 黃忠智(Chung-Chin Huang)

《台灣急診專科醫師期刊》 2卷4期 (2010/12) Pp. 115-119

https://doi.org/10.29749/JTCEP.201012.0001

摘要

目的：探討呼吸器病人早期接受肺部復原治療的成效。方法：病人於使用呼吸器第三天開始接受肺部復原治療，包括呼吸道清除治療、呼吸再訓練與肢體肌肉訓練，比較去年同期病人的結果。結果：未執行肺部復原治療自2009年8月至11月共127例，執行治療自2010年8月至11月共102例。呼吸器脫離率提升18.6%，呼吸器始用天數縮短4.3天，總住院天數縮短3.7天，死亡率下降20.8%，加護病房整體滿意度提升5.4%。結論：早期應用肺部復原治療於重症病人可提升呼吸器脫離率、縮短呼吸器使用天數與住院天數，獲得家屬對醫療團隊的認同與信任感。

關鍵字

肺部復原治療 ； 呼吸器脫離率

並列摘要

Objective: To determine the effects of early pulmonary recondition therapy in critically ill patients with mechanical ventilation in the intensive care unit. Methods: We enrolled all ICU patients who received mechanical ventilation≥3 days during the period between August, 2010 and November, 2010 and we also collected patient data from August, 2009 to November, 2009 as a comparison. The pulmonary recondition therapy included airway clearance, breathing retraining, and limb muscle training.
Results: Over a 4-month period we applied the recondition therapy protocol, 102 patients received this therapy. We found this protocol improved the weaning rate from 52% to 70.6% (p-0.0009), reduced the duration of mechanical ventilation from 15 days to 10.7 days (p=0.0468), shortened the hospital stay from 29.6 days to 25.9 days (p=0.0439), and reduced mortality from 43.3% to 22.5% (p=0.0008).
Conclusion: Early pulmonary recondition therapy in critically ill ventilated patients can improve the weaning rate, ventilation time, hospital stay, and obtain the family's trust and satisfaction of the medical team.

並列關鍵字

pulmonary recondition therapy ； weaning rate