Clinical Study Of Seated-Baduanjin On Early Rehabilitation Of Patients With Sepsis Mechanical Ventilation

ObjectiveThis study is based on the early routine treatment of patients with mechanical ventilation in sepsis,and further explores the influence of Seated-Baduanjin on early rehabilitation of patients with sepsis mechanical ventilation.It includes mechanical ventilation time,MRC score(the medical research council strength score),BADL score(basic living activities),APACHEII scores(acute physiology and chronic health evaluation),respiratory function,ICU length of hospital stay,total hospital stay.By studying the intervention effect of Seated-Baduanjin therapy on patients with sepsis mechanical ventilation,a characteristic health care program suitable for the early rehabilitation of patients with sepsis mechanical ventilation was explored,providing clinical basis for the early rehabilitation implementation and research of ICU patients with severe diseases.MethodsIn this study,SPSS18.0 software package was used to generate random numbers and groupings.Sixty patients who met the inclusion criteria from December 2018 to August 2019 in the Department of Critical Care Medicine of Guangdong Provincial Hospital of Traditional Chinese Medicine were randomly selected according to the ratio of 1:1.They were randomly divided into a treatment group and a control group,each group containing 30 cases.The control group adopted conventional intervention methods,including active anti-infection,raising bedside 30 degrees,airbag monitoring management,calming analgesia,preventing lower extremity DVT,oral care,joint exercise,etc.In the treatment group,we gave the Seated-Baduanjin exercise on the basis of routine treatment.The Seated-Baduanjin is divided into eight types.The first type:palms and blood lines;The second type:two hands hold the heavens and three cokes;The third type:the left and right open bows like the sculptures;The fourth type:five labors and seven injuries later;The fifth type:conditioning the spleen and stomach need to rub;The sixth type:the back of the foot flexion and extension of the strong veins;The seventh type:punching fist strokes of the air machine;The eighth type:ten fingers and the heart is comfortable.The specific operation is as follows:when the patient's muscle strength is lower than Level 3,the nursing staff assists the patient to exercises;When the patient is awake and the muscle strength is greater than 3,the patient can be instructed to perform the sitting-style eight-section movement(15-30 points/time,2 times/day,once in the morning and evening)until transfer or discharge.All clinical data collected were input into SPSS18.0 statistical software,and a database was established for analysis.The numerical variables were described by means of mean±standard deviation,count data adoption rate or composition ratio.Rank data was tested by rank sum test,and measurement data conforming to normal distribution were analyzed by t test.Non-parametric tests are used for measurement data that do not conform to the normal distribution.Results1.In this study,a total of 60 cases of patients with sepsis who met the standard were included,including 30 cases in the control group and 30 cases in the treatment group.During the study period,one patient in the treatment group voluntarily dropped out of the study because he did not cooperate with the exercise of Seat ed-Baduan j i n,and one patient in the control group deteriorated due to the condition,and the family members 'requested to give up treatment and fall off.The rest of the patients completed the evaluation of the whole test and observation indicators as required.In the end,there were 58 patients who were eventually included,including 29 in the control group and 29 in the treatment group.2.According to the data of the basic data of the patients enrolled in the study,there were no significant differences between the two groups in the treatment group and the control group in terms of age,BMI,LVEF,LVEDd,LVESd,APACHE II score,BADL,and lung function(P>0.05).After chi-square test analysis of two independent samples,there was no statistically significant difference in gender,previous medical history,smoking,and drinking status between the two groups(P>0.05).During the ICU hospitalization,there were statistically significant differences in terms of mechanical ventilation time,ICU hospitalization time,and total hospital stay between the treatment group and the control group(P<0.05).In the comparison of disease severity,there was no statistically significant difference in APACHEII score between the two groups before intervention(Z=-1.378,P=0.168).After intervention,the APACHE? scores of the two groups were improved compared with those before the intervention.However,the APACHE ? score of the treatment group was lower than that of the control group.There was a statistically significant difference between the two groups(Z=-3.123,P=0.002).In terms of lung dynamic compliance and lung static compliance,although the difference between the two groups before and after the intervention was not statistically significant(P<0.05),the respiratory fast index of the treatment group after the intervention is superior to the control group and the difference is statistically significant(P<0.05).In addition,Seated-Baduanjin exercise can improve the muscle strength and self-care ability of the treatment group.Finally,in the economic analysis,the cost of the treatment group during hospitalization was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion1.Seated-Baduanjin therapy can reduce the time of mechanical ventilation in patients with mechanical ventilation in sepsis.2.Seated-Baduanjin therapy can effectively improve the shallow breathing index of patients with mechanical ventilation of sepsis and promote the rehabilitation of patients with lung.3.Seated-Baduanjin therapy can improve the muscle strength and daily living self-care ability of patients with sepsis mechanical ventilation,and it can improve the critical course of patients,and reduce the length of ICU stay and the total length of hospital stay.4.Seated-Baduanjin therapy is beneficial to the hospitalization expenses of patients with mechanical ventilation of sepsis.5.Seated-Baduanjin therapy can help to promote the early recovery of patients with mechanical ventilation in sepsis.It is a safe and reliable way to be further promoted in clinical applications.