Effects of four-level rehabilitation guided by quantitative assessment combined with high-fat and low-glucose enteral nutrition on mechanical ventilation in chronic obstructive pulmonary disease
LI Minmin XU Haixia YANG Lili▲
Department of Respiratory and Critical Care Medicine, Huaian First Affiliated Hospital of Nanjing Medical University, Jiangsu Province, Huaian 223300, China
Abstract：Objective To analyze the effects of four-level rehabilitation guided by quantitative assessment combined with high-fat and low-glucose enteral nutrition on mechanical ventilation in chronic obstructive pulmonary disease (COPD). Methods A total of 110 COPD patients admitted to Huaian First Hospital Affiliated to Nanjing Medical University from February 2020 to February 2021 were included and divided into control group and experimental group by random number table method, with 55 cases in each group. The control group received high-fat and low-sugar enteral nutrition, and the experimental group received four-level rehabilitation guided by quantitative evaluation on the basis of the control group. The blood gas indexes, respiratory function, immune function, off-line situation, and neurological function scores before and after training were compared between the two groups. Results Partial pressure of oxygen in artery and pulse oxygen saturation in the experimental group were higher than those in the control group, partial pressure of carbon dioxide was lower than that in the control group, while forced vital capcacity, forced expiratory volume in the first second, and peak expiratory flow were higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). The immune function of the experimental group was higher than that of the control group, the off-line time was shorter than that of the control group, while the success rate of off-line was higher than that of the control group, and the differences were statistically significant (P ＜ 0.05). After training, the scores of transfer, travel, communication, social cognition, self-care ability, and sphincter control in the two groups were higher than those before training, while the experimental group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Applying the four-level rehabilitation guided by quantitative assessment in COPD mechanical ventilation can improve its nutritional status, shorten the time of mechanical ventilation, and promote the rapid recovery of respiratory function and neurological function.
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