心肺康复治疗在ICU获得性衰弱患者中的应用及效果观察

摘要

Objective:To explore the methods and effectiveness of cardiopulmonary rehabilitation therapy in pre-vention of ICU-acquired weakness(ICU-AW).Methods:398 patients with ICU-AW were randomly divided into ex-perimental 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 improve-ments 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.%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(M RC)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M RC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.