Effects of Respiratory Rehabilitation on ICU Patients
Effects of Respiratory Rehabilitation on ICU Patients
Effects of respiratory rehabilitation on patients after extubation
The purpose of this study is to evaluate whether sequential treatment with high-flow
 humidification therapy apparatus can improve the postoperative recovery and functional status
 of patients with invasive mechanical ventilation in ICU after the withdrawal of the
 catheter.Inclusion criteria: age 18-95;The hemodynamics were stable, that is, 50 < heart rate
 less than 120 beats/min, 90 < systolic blood pressure < 200mmHg, 55 < mean arterial pressure
 < 120mmHg.Do not increase the dose of vasopressor for at least 2 hours;Intracranial pressure
 was stable and there was no seizure within 24 hours.The breathing condition was stable, that
 is, the oxygen satiety of the patient's finger vein was ≥88%, and the breathing frequency was
 >10 and< 35 times/min.Exclusion criteria: pregnancy;Acute myocardial infarction.A total of 50
 patients who are sequentially treated with high-flow humidification therapy apparatus after
 extubation in ICU are randomly assigned. The experimental group receive respiratory
 rehabilitation therapy, while the control group only receive routine medical treatment. All
 the enrolled patients underwent rehabilitation evaluation and bedside diaphragmatic
 ultrasound measurement.This study was approved by the Ethics Committee of the CPLA General
 Hospital (project No.2018-212-01). The following clinical datas were recorded for all
 patients through the unified database software: The rehabilitation program was formulated
 according to the cluster management strategy of ABCDEF and the six-step method of early
 activities.All of the patients in monitoring vital signs, every day at hospital group and all
 peripheral muscle MRC assessment, 30 s sit stand trial, modified Barthel index, Borg dyspnea
 score, arterial blood gas analysis, diaphragm ultrasonic monitoring by the bed, finally the
 experimental process on the patients whether using noninvasive ventilator, whether for
 endotracheal intubation again, whether to have new complications (pressure sores, aspiration,
 thrombosis, etc.) and the patients bed time statistics for the first time. Statistical
 analyses were conducted by SPSS 21.0 and a two-tailed P < 0.05 was considered significant.
Inclusion Criteria:

 -  Aged above 18

 -  The hemodynamics are stable

 -  50 < heart rate less than 120 beats/min

 -  90 < systolic blood pressure < 200mmHg

 -  55 < mean arterial pressure < 120mmHg

 -  Do not increase the dose of vasopressor for at least 2 hours

 -  Intracranial pressure was stable and there is no seizure within 24 hours

 -  The breathing condition is stable

 -  the oxygen satiety of the patient's finger vein is ≥88%

 -  10<the breathing frequency < 35 times/min

 Exclusion Criteria:

 -  Pregnancy

 -  Acute myocardial infarction (ami)