• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

机械通气撤机患者的肺康复研究进展:一篇综述文章。

Research progress in pulmonary rehabilitation in patients who have been weaned off mechanical ventilation: A review article.

作者信息

Xu Bi-Qing, Si Qin, Feng Yin-Ping, Guo Jing, Jiang Li-Ping

机构信息

Department of Pulmonary Disease, Lishui Hospital of Traditional Chinese Medicine, Lishui, Zhejiang, China.

Department of Intensive Care Medicine, Lishui Hospital of Traditional Chinese Medicine, Lishui, Zhejiang, China.

出版信息

Technol Health Care. 2024;32(5):2859-2864. doi: 10.3233/THC-231562.

DOI:10.3233/THC-231562
PMID:38848200
Abstract

BACKGROUND

Patients who have been treated with mechanical ventilation for more than 72 hours are susceptible to symptoms such as hypoxia and respiratory muscle fatigue after weaning, which may result in weaning difficulty and delay, as well as an increased incidence of negative emotions such as anxiety and depression. Correct pulmonary rehabilitation exercise technique and timing can improve the weaning success rate, reduce the disability rate, and reduce the incidence of pulmonary infection, as well as reduce medical expenses.

OBJECTIVE

This article provides a review of pulmonary rehabilitation interventions for mechanically ventilated patients, searching relevant literature through databases such as CNKI and PubMed, aiming to provide guidance for the successful weaning of mechanically ventilated patients.

METHODS

We selected articles related to pulmonary rehabilitation interventions for mechanically ventilated patients from CNKI (China National Knowledge Infrastructure) and PubMed over the years.

RESULTS

This article provides a comprehensive review of the research on lung rehabilitation for patients who are mechanically ventilated during the weaning process in an effort to serve as a guide for a successful transition from mechanical ventilation.

CONCLUSION

Early pulmonary rehabilitation training can effectively increase the pulmonary function level and ventilation function of patients and reduce the duration of mechanical ventilation and hospitalization, and is an effective, safe, and feasible treatment method.

摘要

背景

接受机械通气治疗超过72小时的患者在撤机后易出现缺氧、呼吸肌疲劳等症状,这可能导致撤机困难和延迟,以及焦虑、抑郁等负面情绪发生率增加。正确的肺康复锻炼技术和时机可提高撤机成功率,降低致残率,减少肺部感染发生率,还可降低医疗费用。

目的

本文对机械通气患者的肺康复干预进行综述,通过中国知网(CNKI)和PubMed等数据库检索相关文献,旨在为机械通气患者成功撤机提供指导。

方法

我们从历年中国知网(CNKI)和PubMed中选取与机械通气患者肺康复干预相关的文章。

结果

本文对机械通气患者撤机过程中肺康复的研究进行了全面综述,以期为成功从机械通气过渡提供指导。

结论

早期肺康复训练可有效提高患者的肺功能水平和通气功能,缩短机械通气时间和住院时间,是一种有效、安全且可行的治疗方法。

相似文献

1
Research progress in pulmonary rehabilitation in patients who have been weaned off mechanical ventilation: A review article.机械通气撤机患者的肺康复研究进展:一篇综述文章。
Technol Health Care. 2024;32(5):2859-2864. doi: 10.3233/THC-231562.
2
Assessing the efficacy of a graded pulmonary rehabilitation protocol in mechanically ventilated patients following brainstem hemorrhage.评估分级性肺康复方案对脑干出血机械通气患者的疗效。
Medicine (Baltimore). 2024 Jul 5;103(27):e38783. doi: 10.1097/MD.0000000000038783.
3
Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial.无创机械通气用于慢性阻塞性肺疾病所致呼吸衰竭患者的撤机:一项随机对照试验
Ann Intern Med. 1998 May 1;128(9):721-8. doi: 10.7326/0003-4819-128-9-199805010-00004.
4
[The Effectiveness of Pulmonary Rehabilitation for Critical-Care Ventilator Patients: A Systematic Review].[重症监护呼吸机患者的肺康复效果:一项系统评价]
Hu Li Za Zhi. 2016 Jun;63(3):94-104. doi: 10.6224/JN.63.3.94.
5
Co-ordinated multidisciplinary intervention to reduce time to successful extubation for children on mechanical ventilation: the SANDWICH cluster stepped-wedge RCT.多学科协调干预以缩短机械通气患儿成功拔管时间:SANDWICH 集群 stepped-wedge RCT。
Health Technol Assess. 2022 Mar;26(18):1-114. doi: 10.3310/TCFX3817.
6
Chronic obstructive pulmonary disease and weaning of difficult-to-wean patients from mechanical ventilation: randomized prospective study.慢性阻塞性肺疾病与机械通气困难撤机患者的撤机:随机前瞻性研究。
Croat Med J. 2007 Feb;48(1):51-8.
7
[Effect of early pulmonary rehabilitation training on the prognosis of patients with acute respiratory distress syndrome after weaning of invasive mechanical ventilation in the intensive care unit].[早期肺康复训练对重症监护病房有创机械通气撤机后急性呼吸窘迫综合征患者预后的影响]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Mar;36(3):286-292. doi: 10.3760/cma.j.cn121430-20231009-00856.
8
[Development and validation of a mechanical power-oriented nomogram model for predicting the risk of weaning failure in mechanically ventilated patients: an analysis using the data from MIMIC-IV].[用于预测机械通气患者撤机失败风险的机械功率导向列线图模型的开发与验证:一项使用MIMIC-IV数据的分析]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 Jul;35(7):707-713. doi: 10.3760/cma.j.cn121430-20221115-00997.
9
Physiotherapy and Weaning From Prolonged Mechanical Ventilation.物理疗法与延长机械通气撤机
Respir Care. 2019 Jan;64(1):17-25. doi: 10.4187/respcare.06280. Epub 2018 Sep 11.
10
Protocolized versus non-protocolized weaning for reducing the duration of invasive mechanical ventilation in critically ill paediatric patients.采用标准化与非标准化撤机方案以缩短危重症患儿有创机械通气时间
Cochrane Database Syst Rev. 2013 Jul 31;2013(7):CD009082. doi: 10.1002/14651858.CD009082.pub2.

引用本文的文献

1
Assessment of the Rapid Shallow Breathing Index, Integrative Weaning Index, and Dead Space to Tidal Volume Ratio by Respiratory Failure Type in Successfully Weaned Emergency Department Patients.急诊科成功撤机患者中根据呼吸衰竭类型评估快速浅呼吸指数、综合撤机指数及死腔与潮气量比值
Medicina (Kaunas). 2025 Aug 10;61(8):1438. doi: 10.3390/medicina61081438.