系统化早期康复运动对ICU机械通气患者肌力及自理能力的干预效果

发布时间：2018-01-20 04:31

本文关键词： 早期康复运动肌力自理能力 ICU 机械通气　出处：《广东医学》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨早期康复运动对ICU机械通气患者肌力及自理能力的干预效果。方法 101例收治ICU成人患者随机分为观察组(n=51)和对照组(n=50),观察组实施系统化早期康复运动,对照组进行常规活动。结果观察组在转出ICU时英国医学研究理事会(MRC)肌力评分[(55.98±3.61)分]高于对照组[(50±8.49)分],差异有统计学意义(P0.05),而出院时及出院后1个月观察组患者MRC评分与对照组差异无统计学意义(P0.05)。观察组Barthel指数评分在转出ICU时为(67.25±10.65)分,较对照组的(61.50±12.09)分高,差异有统计学意义(P0.05),出院时及出院后1个月差异无统计学意义(P0.05)。观察组的机械通气时间、ICU治疗时间较对照组短,差异有统计学意义(P0.05),而两组患者总住院时间差异无统计学意义(P0.05)。结论系统化早期康复活动可以预防ICU机械通气患者的肌力衰竭,提高患者的日常生活自理能力,缩短机械通气时间及ICU治疗时间。
[Abstract]:Objective to investigate the effect of early rehabilitation exercise on muscle strength and self-care ability of patients with ICU mechanical ventilation. Methods 101 adult patients with ICU were randomly divided into observation group (n = 51) and control group (n = 101). 50). The observation group was given systematic early rehabilitation exercise and the control group was given routine activities. Results when the ICU was transferred from the observation group, the British Medical Research Council (BMRC) muscle strength score was obtained. [The score of 55.98 卤3.61) was higher than that of the control group. [The difference was statistically significant (P 0.05). However, there was no significant difference in MRC score between the observation group and the control group at the time of discharge and one month after discharge (P 0.05). The Barthel index score of the observation group was significantly higher than that of the control group (P < 0.05). 67.25 卤10.65). Compared with the control group (61.50 卤12.09), the difference was statistically significant (P 0.05). There was no significant difference between the two groups at discharge and one month after discharge (P 0.05). The time of mechanical ventilation in the observation group was shorter than that in the control group (P 0.05). There was no significant difference in total hospitalization time between the two groups (P 0.05). Conclusion systematic early rehabilitation activities can prevent muscle strength failure in patients with ICU mechanical ventilation and improve their self-care ability in daily life. To shorten the time of mechanical ventilation and ICU treatment.
【作者单位】：遵义医学院附属医院重症医学科二病区;
【基金】：遵义市红花岗区科学技术项目[编号:遵红科合社字(2014)15号]
【分类号】：R472.2
【正文快照】： 自理能力(activities of daily living,ADL)与肌力是评估患者生活质量的重要指标,患者日常生活ADL评估通常使用Barthel指数评分,肌力使用英国医学研究理事会(the UK Medical Research Council,MRC)6级测定评分[1]。重症监护病房(intensivecare unit,ICU)机械通气患者由于病情

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