摘要
目的:分析早期渐进式抗阻运动方案对胰腺手术术后患者临床结局的影响,并评价其安全性。方法:选取在北京市某三级甲等医院普通外科ICU接受治疗的131名胰腺手术术后患者为研究对象,2019年1—12月入组的为对照组,2020年1—12月入组的为实验组。对照组给予常规术后活动指导,实验组给予早期渐进式抗阻运动干预。比较干预后两组患者的活动能力、胃肠功能恢复时间、ICU住院日等指标,以及评价渐进式抗阻运动的安全性。结果:实验组患者比对照组干预后第3天和第5天活动能力均有所改善(t=0.496,P<0.001;t=1.652,P=0.005),实验组患者术后排气时间比对照组短(t=10.812,P<0.001);实验组患者首次下床活动时间比对照组短(t=11.744,P<0.001);实验组患者住ICU时间比对照组短(Z=-2.171,P=0.030);两组患者均未发生运动相关不良事件。结论:早期渐进性抗阻动具有良好的安全性,可以提高胰腺术后患者的活动能力、促进胃肠功能恢复,缩短ICU住院时间。
Objective:To analyze the effects of early progressive resistance exercise program on the clinical outcome of patients after pancreatic surgery and evaluate the safety of the program.Methods:Totally 131 post-pancreatic patients who were treated in the general surgical ICU from January 2019 to December 2020 were selected as study subjects.Among those,52 who were enrolled from January 2019 to December 2019 served as the control group,while 79 who were enrolled from January 2020 to December 2020 served as the intervention group.Routine post-operative activity guidance was given to the control group,and the early progressive resistance exercise intervention was given to the intervention group.Differences in the activity ability,recovery time of gastrointestinal function,length of stay at ICU and other indicators between the two groups of patients after intervention,as well as the safety of progressive resistance exercise,were evaluated.Results:Compared to the control group,the activity ability of patients in the intervention group was significantly improved on the third and fifth day(t=0.496,P<0.001;t=1.652,P=0.005,respectively).Exhaust time,the first time getting out of bed,and the length of stay at ICU were significantly shorter in the intervention group(t=10.812,P<0.001;t=11.744,P<0.001;Z=-2.171,P=0.030,respectively);Both groups had no exercise-related adverse events during exercise.Conclusion:The early progressive resistance exercise is safe,which can improve the activity ability of patients after pancreatic surgery,promote the recovery of gastrointestinal function,and shorten the length of stay at ICU.
作者
王硕
姜灿
张晓雪
王欣然
WANG Shuo;JIANG Can;ZHANG Xiaoxue;WANG Xinran(General Surgical Intensive Care Unit,Xuanwu Hospital Capital Medical University,Beijing,100053,China)
出处
《中国护理管理》
CSCD
2021年第3期325-330,共6页
Chinese Nursing Management
基金
北京市科技计划项目(Z201100005520006)。
关键词
胰腺手术
早期活动
抗阻运动
活动能力
pancreatic surgery
early mobilization
resistance exercise
activity ability
