Influence of perioperative pulmonary rehabilitation system based on prehabilitation on early weaning during cardiac perioperative period
10.3760/cma.j.cn112434-20200701-00319
- VernacularTitle:基于预康复理念的心脏围手术期肺康复体系对术后早期拔除气管插管的影响
- Author:
Jiaxin YE
1
;
Tao CHEN
;
Cheng CHEN
;
Lichong LU
;
Zhigang WANG
;
Yongqing CHENG
;
Zheyun WANG
;
Hongbo HUAI
;
Min GE
;
Dongjin WANG
Author Information
1. 南京医科大学附属鼓楼临床学院 南京大学医学院附属鼓楼医院心外科重症监护 210008
- Keywords:
Pulmonary rehabilitation system;
Prehabilitation;
Cardiac surgery;
Ventilator weaning;
Enhanced recovery after surgery
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(8):496-501
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of the pulmonary rehabilitation system based on the concept of prehabilitation for patients after cardiac surgery to wean tube and avoid related complications.Methods:From January 2018 to December 2019 in a single-center(third-class hospital in cardiac surgery intensive care unit), all adult patients hospitalized for 7 days before open-heart surgery were included. They were randomly divided into pulmonary rehabilitation group(198 cases) and control group(234 cases). To compare and analyze the clinical effects, the main observations were observed including overall outcome indicators(such as early extubation rate, ICU stay, hospitalization costs, advanced oxygen therapy support after extubation) and lung outcome related indicators(such as the occurrence of pulmonary complications, chest drainage, secondary intubation, tracheotomy, lung infection and chest tube drainage).Results:There was no statistical difference between groups in basic conditions and surgical conditions. The lung rehabilitation group significantly increased the rate of early extubation, reduced the number of advanced oxygen therapy after weaning, shortened the length of ICU stay, saved hospitalization cost, significantly reduced the occurrence of postoperative respiratory complications and improved postoperative respiratory function( P<0.05). Conclusion:During cardiac perioperation, pulmonary rehabilitation significantly can increase the rate of early extubation , shorten the length of mechanical ventilation, reduce the occurrence of secondary tracheal intubation and pulmonary complications. And it can also effectively promote the recovery of lung function and the overall recovery.
