摘要
目的探讨机械辅助排痰联合早期4级康复锻炼对ICU获得性衰弱(ICU-AW)的防治效果。方法采用便利抽样法选择2020年6月—2021年6月在信阳市中心医院ICU住院且实施机械通气的98例患者,随机分为观察组和对照组,各49例。ICU住院期间对照组采取ICU常规护理,观察组在对照组的基础上采取机械辅助排痰联合早期4级康复锻炼。比较两组的ICU-AW发生情况、机械通气时间、ICU住院时间、膈肌厚度和膈肌增厚分数。结果观察组的ICU-AW发生时间晚于对照组,ICU-AW发生率低于对照组,机械通气时间及ICU住院时间均短于对照组,差异有统计学意义(P<0.05);干预后观察组的四肢骨骼肌质量、膈肌厚度和膈肌增厚分数均高于对照组,差异有统计学意义(P<0.05);对照组干预后的四肢骨骼肌质量、膈肌厚度和膈肌增厚分数均低于干预前,差异有统计学意义(P<0.05);观察组干预后的四肢骨骼肌质量、膈肌厚度和膈肌增厚分数与干预前比较,差异无统计学意义(P>0.05)。结论机械辅助排痰联合早期4级康复锻炼可以有效预防ICU机械通气患者的ICU-AW发生,缩短机械通气时间和ICU住院时间,维持四肢骨骼肌质量和膈肌功能,使患者获益。
Objective To analyze the effect of mechanical assisted sputum drainage combined with early grade 4 rehabilitation exercise on Intensive Care Unit-acquired weakness(ICU-AW).Methods The convenient sampling method was used to select 98 patients who were hospitalized in ICU of Xinyang Central Hospital and underwent mechanical ventilation from June 2020 to June 2021.They were randomly divided into observation group and control group,with 49 cases in each group.During the ICU stay,the control group received ICU routine nursing,and the observation group received mechanical-assisted sputum expectoration combined with early stage 4 rehabilitation exercise on the basis of the control group.The incidence of ICU-AW,duration of mechanical ventilation,length of ICU stay,diaphragm thickness and diaphragmatic thickening fraction were compared between the two groups.Results The occurrence time of ICU-AW in the observation group was later than that in the control group,the incidence of ICU-AW in the observation group was lower than that in the control group and mechanical ventilation time and length of ICU stay in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,skeletal muscle mass,diaphragm thickness and diaphragm thickening fraction in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).The skeletal muscle mass,diaphragm thickness and diaphragm thickening fraction of the control group after the intervention were lower than those before the intervention,and the differences were statistically significant(P<0.05).There was no statistically significant difference in limb skeletal muscle mass,diaphragm thickness and diaphragm thickening fraction in the observation group after intervention compared with those before intervention(P>0.05).Conclusions Mechanical assisted sputum drainage combined with early grade 4 rehabilitation exercise can effectively prevent the occ
作者
王进菊
张芳权
王锦
芦乙滨
倪荣
陈咏秋
Wang Jinju;Zhang Fangquan;Wang Jin;Lu Yibin;Ni Rong;Chen Yongqiu(Department of Rehabilitation Medicine,Xinyang Central Hospital,Xinyang 464000,China)
出处
《中华现代护理杂志》
2022年第20期2680-2684,共5页
Chinese Journal of Modern Nursing
关键词
重症监护病房
ICU获得性衰弱
机械通气
机械辅助排痰
康复锻炼
Intensive Care Unit
Intensive Care Unit-acquired weakness
Mechanical ventilation
Mechanical assisted sputum drainage
Rehabilitation exercise
