新冠肺炎患者 ICU 后呼吸衰竭行肺康复治疗的效果。
Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU.
机构信息
Pulmonary Rehabilitation Center Dieulefit santé, Dieulefit, Rhône-Alpes, France; HP2 Laboratory, INSERM, Grenoble Alpes University, Grenoble, Rhône-Alpes, France.
Groupement Hospitalier Portes de Provence, Intensive Care Unit, Montélimar, Rhône-Alpes, France.
出版信息
Respir Physiol Neurobiol. 2021 May;287:103639. doi: 10.1016/j.resp.2021.103639. Epub 2021 Feb 12.
INTRODUCTION
Some COVID-19 patients develop respiratory failure requiring admission to intensive care unit (ICU). We aim to evaluate the effects of pulmonary rehabilitation (PR) post-ICU in COVID-19 patients.
METHODS
Twenty-one COVID-19 patients were evaluated pre- and post-PR and compared retrospectively to a non-COVID-19 group of 21 patients rehabilitated after ICU admission due to respiratory failure.
RESULTS
PR induced greater 6-min walking distance improvement in COVID-19 patients (+205 ± 121 m) than in other respiratory failure patients post-ICU (+93 ± 66 m). The sooner PR was performed post-ICU, the better patients recovered.
CONCLUSIONS
PR induced large functional improvements in COVID-19 patients post-ICU although significant physical and psychosocial impairments remained post-PR.
简介
一些 COVID-19 患者会发展为需要入住重症监护病房（ICU）的呼吸衰竭。我们旨在评估 COVID-19 患者 ICU 后肺康复（PR）的效果。
方法
对 21 例 COVID-19 患者进行 PR 前后评估，并与因呼吸衰竭而入住 ICU 后接受康复治疗的 21 例非 COVID-19 患者进行回顾性比较。
结果
PR 使 COVID-19 患者的 6 分钟步行距离改善更明显（+205±121m），优于其他 ICU 后因呼吸衰竭接受康复治疗的患者（+93±66m）。PR 实施得越早，患者的恢复情况越好。
结论
尽管 PR 后患者仍存在明显的身体和心理社会障碍，但 PR 可使 COVID-19 患者 ICU 后功能得到显著改善。
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