摘要
目的:探讨早期物理治疗在外科重症监护室(SICU)实施的安全性和有效性,及对术后患者功能恢复的影响。方法:对手术后进入SICU中的患者,麻醉作用消失后,病情处于相对稳定状态时(一般术后24h内),实施早期物理治疗,观察患者治疗中的反应,并评估患者治疗前后氧分压(PO2)、通气与血氧饱和度(FiO2/SpO2)比例,生命体征,心肺功能情况变化,患者在SICU停留时间及并发症等。结果:物理治疗前后PO2、FiO2/SpO2及各项生命体征无明显变化(P>0.05),但肺部X片检查显示浸润性炎症吸收较快,停留在SICU时间缩短,无一例发生下肢深静脉栓塞。结论:早期物理治疗应用于术后SICU患者是安全和有效的,并能缩短患者在SICU住院时间以减少医疗费用,并降低并发症的发生。
Objective：To discuss the security and validity of early physical therapy（PT） in surgery intensive care unit（SICU）.Method：The patients were accepted PT with stabile life sigh and narcosis dissolved in SICU after surgery.All patients were observed with outcome during PT,recorded with PO2,FiO2/SpO2,HR,R,BP and duration time of staying in SICU.Result：Before and after PT,there were not evident changes with PO2,FiO2/SpO2,HR,R,BP.However,their pneumonia disappeared faster and reduction the time of staying in SICU.No patient has DVT.Conclusion：Early physical therapy is safe and effective,and it reduces the time of staying in SICU,syndrome and the cost of patients.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2010年第9期850-853,共4页
Chinese Journal of Rehabilitation Medicine
关键词
重症监护
手术
早期物理治疗
intensive care unit
surgery
early physical therapy
