摘要
目的 观察危重症患者实施早期康复运动指导的作用。方法 80例危重症患者,根据随机数字表法分成对照组与研究组,每组40例。对照组开展常规指导,研究组开展早期康复运动指导。比较两组患者指导前后呼吸、循环指标,恢复指标及不良事件发生情况。结果 指导后,研究组呼吸频率、舒张压、收缩压、心率均低于本组指导前,指尖血氧饱和度高于本组指导前,且研究组呼吸频率(19.63±1.11)次/min、舒张压(83.81±2.13)mm Hg(1 mm Hg=0.133 kPa)、收缩压(117.48±6.09)mm Hg、心率(67.98±7.30)次/min低于对照组的(21.29±1.25)次/min、(86.22±3.24)mm Hg、(120.93±6.21)mm Hg、(86.51±4.28)次/min,指尖血氧饱和度(98.75±0.21)%高于对照组的(96.45±1.32)%,差异有统计学意义(P<0.05)。研究组呼吸机使用时间(9.23±1.34)d、重症加强护理病房(ICU)入住时间(11.98±2.32)d均短于对照组的(12.98±2.28)、(14.63±3.57)d,谵妄率5.00%、死亡率0均低于对照组的22.50%、15.00%,差异有统计学意义(P<0.05)。研究组不良事件发生率7.50%低于对照组的30.00%,差异有统计学意义(P<0.05)。结论 针对于危重症患者,开展早期康复运动指导,可显著地改善呼吸、循环指标,缩短呼吸机使用时间、ICU入住时间,降低谵妄率和死亡率、不良事件发生率,效果理想。
Objective To observe the role of early rehabilitation exercise guidance in critically ill patients.Methods A total of 80 critically ill patients were divided into a control group and a study group according to random numerical table,with 40 cases in each group.The control group received routine guidance,and the study group received early rehabilitation exercise guidance.The respiratory and circulatory indicators and recovery indicators before and after the guidance,and adverse events were compared between the two groups.Results After the guidance,the respiratory rate,diastolic blood pressure,systolic blood pressure and heart rate in the study group were lower than those before the guidance in this group,and the fingertip blood oxygen saturation was higher than that before the guidance in this group;the respiratory rate in the study group was(19.63±1.11)times/min,the diastolic blood pressure was(83.81±2.13)mm Hg(1 mm Hg=0.133 kPa),the systolic blood pressure was(117.48±6.09)mm Hg,and the heart rate was(67.98±7.30)beats/min,which were lower than those of(21.29±1.25)times/min,(86.22±3.24)mm Hg,(120.93±6.21)mm Hg and(86.51±4.28)beats/min in the control group;the fingertip oxygen saturation of(98.75±0.21)%in the study group was higher than that of(96.45±1.32)%in the control group;the differences were statistically significant(P<0.05).The duration of ventilator use of(9.23±1.34)d and the length of intensive care unit(ICU)stay of(11.98±2.32)d in the study group were shorter than those of(12.98±2.28)and(14.63±3.57)d in the control group;the delirium rate of 5.00%and mortality rate of 0 in the study group were lower than those of 22.50%and 15.00%in the control group;the differences were statistically significant(P<0.05).The incidence of adverse events of 7.50%in the study group was lower than that of 30.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion For critically ill patients,early rehabilitation exercise guidance has ideal effect,which can significantly improve
作者
许丽敏
廖建萍
XU Li-min;LIAO Jian-ping(Xiamen Haicang Hospital,Xiamen 361001,China)
出处
《中国现代药物应用》
2023年第24期172-174,共3页
Chinese Journal of Modern Drug Application
关键词
危重症患者
早期康复运动指导
呼吸指标
循环指标
治疗作用
Critically ill patients
Early rehabilitation exercise guidance
Respiratory indicators
Cycle indicators
Therapeutic effects
