The relationship between mechanical ventilation time and diaphragm function recovery under integrated rehabilitation intervention
LUO Ning,LI Yin,ZHU Chen-lin
Abstract:
Objective To explore the relationship between integrated rehabilitation and diaphragmatic function in ICU patients undergoing mechanical ventilation. Methods Patients undergoing tracheal intubation and mechanical ventilation admitted to the Department of Critical Care Medicine, Tianjin First Central Hospital from May 2023 to December 2023 were selected as study subjects and divided into an observation group and a control group. The control group received active and passive exercises based on the detailed grading nursing standards for ICU patients formulated by our department, while the observation group underwent early critical rehabilitation intervention using an integrated rehabilitation model. The prognosis (ICU stay, duration of mechanical ventilation, and total hospital stay) of the two groups was compared. Bedside ultrasound was used to monitor diaphragmatic excursion and diaphragmatic thickness on the 1st, 3rd, 5th day of admission, and before ventilator withdrawal in both groups. Results Patients in the ICU on mechanical ventilation all experience varying degrees of diaphragm atrophy and reduced mobility, which worsen with prolonged ventilation but recover somewhat before extubation. Compared to the control group, patients in the integrated rehabilitation therapy group showed better recovery in diaphragm mobility and thickness; there was no statistically significant difference in the duration of mechanical ventilation between the two groups (P>0.05). The ICU stay and total hospital stay were significantly shorter in the integrated rehabilitation therapy group compared to the control group, with the difference being statistically significant (P<0.05). Conclusion Integrated rehabilitation therapy can effectively improve the prognosis of patients undergoing mechanical ventilation and reduce diaphragmatic dysfunction.
