[摘要]目的 分析早期康复治疗对老年重症肺炎机械通气患者并发症及预后的影响。方法 选取2014年1月～2018年5月我院收治的老年重症肺炎142例患者作为研究对象，应用抽签法随机分为研究组和对照组，每组各71例。对照组采用常规方案进行治疗，研究组采用早期康复进行治疗;比较两组治疗后的并发症、预后情况。结果 研究组和对照组治疗后并发症总发生率分别为88.73%和36.62%，差异有统计学意义(P<0.05)。研究组治疗后预后谵妄持续时间、机械通气时间、重症加强护理病房(ICU)住院时间明显短于对照组，30 d病死率、拔管失败率、气管切开率明显低于对照组，差异均有统计学意义(P<0.05)。结论 对老年重症肺炎机械通气患者行早期康复治疗，能降低并发症的发生率，且有利于改善患者预后，值得临床推广。

    [关键词]早期康复治疗;老年;重症肺炎;机械通气

    [中图分类号] R563.1 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0070-03

    [Abstract] Objective To analyze the effect of early rehabilitation treatment on the complications and prognosis of senile patients with severe pneumonia mechanical ventilation. Methods A total of 142 senile patients with severe pneumonia admitted in our hospital from January 2014 to May 2018 were selected as the study subjects. They were randomly divided into the study group and the control group by drawing lots ......