摘要
目的 探讨本体感觉神经肌肉促进疗法(PNF)技术联合早期康复训练对ICU获得性肌无力(ICUAW)患者的治疗效果。方法 采用随机数字表法将60例ICUAW患者分为对照组和观察组,各30例。在常规支持治疗的基础上,给予对照组早期康复训练,给予观察组PNF技术联合早期康复训练,两组的治疗时间均为3周。比较两组患者治疗前后的英国医学研究理事会(MRC)评分总分、ICU患者生理机能测试(PFIT)量表评分,以及机械通气时间和ICU住院时间。结果 治疗后,两组患者的MRC评分总分和PFIT量表评分较治疗前提高,且观察组的上述评分高于对照组(P<0.05)。观察组的机械通气时间和ICU住院时间短于对照组(P<0.05)。结论 采用PNF技术联合早期康复训练可改善ICUAW患者的肌力和生理机能,缩短机械通气时间和ICU住院时间,效果优于单纯的早期康复训练。
Objective To explore the therapeutic effect of proprioceptive neuromuscular facilitation(PNF)technique combined with early rehabilitation training on patients with ICU-acquired weakness(ICUAW).Methods A total of 60 ICUAW patients were divided into control group or observation group by the random number table method,with 30 cases in each group.On the basis of routine support therapy,the control group received early rehabilitation training,while the observation group received PNF technique combined with early rehabilitation training.Both groups received 3-week therapeutic duration.The pre-and post-treatment total score of Medical Research Council(MRC)and Physical Function ICU Test(PFIT)scale score,as well as mechanical ventilation duration and length of ICU stay were compared between patients of the two groups.Results After treatment,patients of the two groups obtained elevated MRC total score and PFIT scale score as compared with before treatment,and the observation group yielded higher aforementioned scores as compared with the control group(P<0.05).The observation group exhibited shorter mechanical ventilation duration and length of ICU stay as compared with the control group(P<0.05).Conclusion Employing PNF technique combined with early rehabilitation training can ameliorate muscle strength and physiological function of ICUAW patients,and shorten mechanical ventilation duration and length of ICU stay,exerting superior effects to simple early rehabilitation training.
作者
黄林鹏
周开斌
龙耀斌
梁天佳
宁育艺
覃方巍
周楳畯
HUANG Linpeng;ZHOU Kaibin;LONG Yaobin;LIANG Tianjia;NING Yuyi;QIN Fangwei;ZHOU Meijun(Department of Rehabilitation Medicine,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,Guangxi,China)
出处
《广西医学》
CAS
2023年第19期2321-2324,2354,共5页
Guangxi Medical Journal
基金
广西壮族自治区医疗卫生重点学科建设项目(桂卫科教发[2022]4号)。
关键词
获得性肌无力
本体感觉神经肌肉促进疗法
康复训练
重症加护病房
治疗效果
Acquired weakness
Proprioceptive neuromuscular facilitation
Rehabilitation training
Intensive care unit
Therapeutic effect
