足浴联合足底按摩对ICU机械通气患者预后的影响

发布时间：2018-01-11 06:01

本文关键词：足浴联合足底按摩对ICU机械通气患者预后的影响　出处：《广东医学》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨足浴联合足底按摩对ICU机械通气患者预后的影响。方法纳入110例ICU成人机械通气患者并将其随机分为观察组与对照组,对照组予常规足部护理,观察组在对照组基础上进行足浴联合足底按摩,比较两组患者机械通气时间、ICU住院时间、总住院时间、28 d生存率、出ICU时的肌力(MRC)及自理能力(BI)评分。结果观察组患者出ICU时MRC评分[(56.79±9.68)分vs(52.67±4.24)分,P=0.013]与BI评分[(77.76±14.36)分vs(66.63±14.26)分,P=0.001]高于对照组,但机械通气时间、ICU住院时间、总住院时间及28 d生存率与对照组患者相比差异无统计学意义(P0.05)。结论足浴联合足底按摩可促进ICU机械通气患者出ICU时的肌力和自理能力的恢复。
[Abstract]:Objective to investigate the effect of foot bath and foot massage on the prognosis of ICU patients with mechanical ventilation. Methods a total of 110 cases of adult ICU patients with mechanical ventilation were randomly divided into observation group and control group, the control group received routine foot care, the observation group in the control group on the basis of foot bath and foot massage, compared two groups of patients with mechanical ventilation time. ICU total hospitalization time, hospitalization time, survival rate of 28 d, ICU of the muscle strength (MRC) and self-care ability score (BI). The patients in the observation group ICU MRC score [(56.79 + 9.68) vs (52.67 + 4.24), P=0.013] and BI score [(77.76 + 14.36) points vs (66.63 + 14.26) points, P=0.001] higher than the control group, but the duration of mechanical ventilation, ICU hospitalization time, total hospitalization time and 28 d survival rate of the patients in the control group had no significant difference (P0.05). Conclusion the foot bath and foot massage can promote ICU mechanical ventilation in patients with a ICU muscle And the recovery of self-care ability.

【作者单位】：遵义医学院附属医院护理部;遵义医学院附属医院重症医学科;
【基金】：国家临床重点专科建设项目(编号:国卫办[2013]544号) 贵州省卫生计生委科学技术基金项目(编号:gzwjkj2014-01-0777)
【分类号】：R472.2
【正文快照】： 机械通气是指当机体因肺或其他原因所致呼吸功能障碍,导致机体不能维持正常的气体交换时,以机械装置(呼吸机)完全代替或辅助患者呼吸的一种治疗措施[1]。全世界每年有1 300万至2 000万危重患者需使用生命支持技术[2]。仅在美国,每年机械通气患者例数多达75万,而每年机械通气时

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