| 郭涛,童华生.心肺康复治疗在ICU获得性衰弱患者中的应用及效果观察[J].中国康复,2017,32(5):383-385 |
| 心肺康复治疗在ICU获得性衰弱患者中的应用及效果观察 |
| Application and effectiveness of cardiopulmonary rehabilitation in patients with ICU-acquired weakness |
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| DOI： |
| 中文关键词: ICU获得性衰弱 心肺康复治疗 机械通气 住院时间 满意度 |
| 英文关键词: ICU-acquired weakness cardiopulmonary rehabilitation mechanical ventilation hospital stays satisfaction |
| 基金项目:国家自然科学基金面上项目（86171896） |
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| 中文摘要: |
| 目的：探讨心肺康复治疗在预防ICU患者发生获得性衰弱的方法及效果。方法：选择ICU获得性衰弱（ICU-AW）患者398例随机分为观察组200例和对照组198例。对照组患者给予常规护理，观察组在对照组的基础上采用心肺康复治疗手段进行干预。比较2组机械通气后第3天、第6天、第10天医学研究理事会（MRC）肌力评分、ICU-AW发生情况、呼吸机相关性肺炎（VAP）发生情况、机械通气时间及ICU住院时间、患者满意度。结果：2组患者机械通气第3天、第6天、第10天MRC肌力评定法评分比较，观察组均优于对照组（P＜0.01）。观察组ICU-AW及VAP发生率均明显低于对照组（P＜0.01）。2组机械通气时间及ICU住院时间比较，观察组均较对照组明显缩短（P＜0.01）。2组患者对护理质量满意度情况比较，观察组明显高于对照组（P＜0.01）。结论：心肺康复治疗能够降低ICU患者发生获得性衰弱的发生率，改善患者的生存质量，提高患者满意度，值得推广。 |
| 英文摘要: |
| Objective: To explore the methods and effectiveness of cardiopulmonary rehabilitation therapy in prevention of ICU-acquired weakness (ICU-AW). Methods: 398 patients with ICU-AW were randomly divided into experimental group (n=200) and control group (n=198). The patients in the control group were given routine care, and those in the experimental group were given cardiopulmonary rehabilitation treatment in addition to routine care. MRC-score was measured 3, 6 and 10 days after mechanical ventilation. The occurrence of ICU-AW and VAP, the duration of mechanical ventilation, length of ICU stay and patients' satisfaction were recorded. Results: The MRC-scores in the experimental group were significantly higher than in the control group (P<0.01). Significant improvements in the occurrence of ICU-AW and VAP, the duration of mechanical ventilation, and length of ICU stay were also demonstrated in the experimental group (P<0.01). The better satisfaction was found in the experimental group than in the control group. Conclusion: Cardiopulmonary rehabilitation treatment can prevent the occurrence of ICU-AW, improve the quality of life, and increase patients' satisfaction. |
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