Abstract:

Objective　To explore the effect applying sitting Baduanjin in the ventilator withdrawal of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) taking endotracheal intubation. Methods　This study was a prospective controlled study. Eighty patients with AECOPD taking endotracheal intubation at The First Affiliated Hospital of Guangzhou Medical University from June 2021 to May 2022 were divided into an observation group and a control group by the random number table method. The patients dropped out of the study because of their own reasons during the intervention were excluded; at last, there were 37 cases in the observation group and 38 cases in the control group. There were 12 females and 26 males in the control group; they were (68.76±14.86) years old. There were 12 females and 25 males in the observation group; they were (64.97±13.42) years old. The control group took routine tracheal intubation nursing; in addition, the observation group were intervened by sitting Baduanjin. The ventilator withdrawal indicators and comfort degrees were compared between the two groups. χ², rank sum, and t tests were applied. Results　The mechanical ventilation time and hospitalization days in the observation group were significantly shorter than those in the control group [(7.84±2.82) d vs. (9.18±2.60) d and (16.32±4.08) d vs. (19.37±3.64) d], with statistical difference (t=-2.147 and -3.404; both P<0.05). The numbers of cases of no discomfort, mild discomfort, moderate discomfort, and severe discomfort in the observation group were better than those in the control group [3 (8.1%) vs. 1 (2.6%), 14 (37.8%) vs. 6 (15.8%), 18 (48.6%) vs. 23 (60.5%), 2 (5.4%) vs. 8 (21.1%)], with a statistical difference (Z=-2.870, P<0.05). Conclusion　Sitting Baduanjin is conducive to shorten the mechanical ventilation time and hospitalization days of patients with AECOPD taking endotracheal intubation, and can also improve the comfort of endotracheal intubation.

Key words:

Acute exacerbation of chronic obstructive pulmonary disease, Oral endotracheal intubation, Sitting Baduanjin, Ventilator

摘要：

目的　探讨坐式八段锦对慢性阻塞性肺疾病急性加重期（AECOPD）气管插管患者撤机的应用效果。方法　本研究为前瞻性对照研究，选择2021年6月至2022年5月在广州医科大学附属第一医院住院治疗的AECOPD患者80例，通过随机数字表法分为观察组和对照组。排除在干预过程中由于自身原因退出研究的患者，最终观察组37例，对照组38例。对照组女12例、男26例，年龄（68.76±14.86）岁，采用常规的气管插管护理；观察组女12例、男25例，年龄（64.97±13.42）岁，在观察组基础上采用坐式八段锦进行干预。收集并比较两组患者在撤机相关指标和舒适度方面的差异。统计学方法采用χ²检验、秩和检验、t检验。结果　观察组患者机械通气时间、住院天数均少于对照组［（7.84±2.82）d比（9.18±2.60）d、（16.32±4.08）d比（19.37±3.64）d］，差异均有统计学意义（t=-2.147、-3.404，均P<0.05）；观察组无不适、轻度不适、中度不适、重度不适情况均优于对照组［3例（8.1%）比1例（2.6%）、14例（37.8%）比6例（15.8%）、18例（48.6%）比23例（60.5%）、2例（5.4%）比8例（21.1%）］，两组舒适度差异有统计学意义（Z=-2.870，P<0.05）。结论　坐式八段锦有利于缩短AECOPD气管插管患者机械通气时间和住院天数，提升患者插管舒适度。

关键词:

慢性阻塞性肺疾病急性加重期, 经口气管插管, 坐式八段锦, 呼吸机