Effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia

Liu,Wei; Mu,Xuri; Wang,Xin; Zhang,Peipei; Zhao,Li; Li,Qiuju

doi:10.3892/etm.2018.6396

Effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia

Authors:
- Wei Liu
- Xuri Mu
- Xin Wang
- Peipei Zhang
- Li Zhao
- Qiuju Li
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Affiliations: Emergent Intensive Care Unit, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China, Department of Cardiothoracic Surgery, Yantaishan Hospital, Yantai, Shandong 264000, P.R.China, Department of Μagnetic Resonance, People's Hospital of Zhangqiu District, Zhangqiu, Shandong 250200, P.R. China, Department of Cardiology, People's Hospital of Zhangqiu District, Zhangqiu, Shandong 250200, P.R. China, Department of Respiratory Medicine, People's Hospital of Rizhao, Rizhao, Shandong 276800, P.R. China, Department of Adult Rehabilitation, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China
Published online on: July 3, 2018 https://doi.org/10.3892/etm.2018.6396
Pages: 1953-1957
Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

In this study we try to observe the effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia during mechanical ventilation. A total of 120 patients with severe pneumonia were selected and divided into the experimental group (n=60) and the control group (n=60) through a random number table. Conventional therapy for severe pneumonia was applied to patients in both groups, and the experimental group was additionally treated with comprehensive pulmonary rehabilitation therapy, including warming-up exercise before training, respiratory function exercise, respiratory muscle training, health education, psychological support and nutritional intervention. The pulmonary function indexes, blood gas indexes, Borg index scores and 6-min walk distance (6MWD) of the two groups of patients were evaluated before treatment and at 6 months after treatment, respectively. In the control group, there were statistically significant differences only in forced expiratory volume in 1 sec (FEV1), ratio of FEV1 to forced vital capacity (FEV1/FVC), partial pressure of O2 (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Borg index and 6MWD after treatment compared with those before treatment (p<0.05); as for intra-group comparisons, there were no significant improvements in other indexes compared with those before treatment, and the differences were not statistically significant (p>0.05). In the experimental group, all the indexes after treatment were statistically different from those before treatment and those after treatment in the control group (p<0.05); with regard to comparisons of the indexes between the control group and the experimental group, the differences were significant (p<0.05). Comprehensive pulmonary rehabilitation therapy is conducive to improving the pulmonary functions and blood gas indexes of patients with severe pneumonia during mechanical ventilation.

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