早期渐进性运动在重症监护病房危重患者床旁超声监测中的干预效果OA
Interventional effect of early progressive exercise on bedside ultrasound monitoring of critically ill patients in the intensive care unit
目的 探讨早期渐进性运动在重症监护病房(ICU)危重患者床旁超声监测中的干预效果.方法 对2020 年1 月至2022 年1 月在贵港市人民医院急诊ICU、重症医学科住院的 120 例行机械通气患者的一般资料进行回顾分析,2 组均予以基础治疗和常规护理,根据随机数字表法将其分为对照组(60 例,常规康复训练)和观察组(60 例,常规康复训练+早期渐进性运动)2 组.对比2 组在住院期间的呼吸机相关性肺炎(VAP)发生率、呼吸肌功能、肌肉参数、肌力和握力水平.结果 观察组的机械通气、ICU 及总住院时间均短于对照组,VAP 发生率低于对照组(P均<0.05).入住ICU 48 h后,观察组的咳嗽峰流速、最大吸气压力水平均高于对照组(P均<0.05).入住ICU的1 周和转出ICU时,观察组的股直肌横截面积、股直肌厚度、股中间肌厚度、胫骨前肌肌肉厚度、肱二头肌厚度、桡侧腕屈肌厚度值均大于同期对照组,英国医学研究委员会量表评分和握力均较同期对照组更优(P均<0.05).结论 早期渐进性运动在ICU危重患者床旁超声监测中的干预效果显著,可有效减少患者的ICU住院时间,减少VAP的发生,改善其呼吸肌功能,提升其肌肉厚度、肌群肌力和握力水平.
Objective To explore the intervention effect of early progressive exercise on bedside ultrasound monitoring of critically ill patients in the intensive care unit(ICU).Methods A retrospective analysis was conducted on 120 mechanically ventilated patients admitted to the Emergency ICU and the Department of Critical Care Medicine of Guigang City People's Hospital from January 2020 to January 2022.Both groups received basic treatment and routine nursing.The patients were assigned into a control group(60 cases receiving routine rehabilitation training)and an observation group(60 cases receiving routine rehabilitation training and early progressive exercise)via a random number table.The incidence of ventilator-associated pneumonia(VAP),respiratory muscle function,muscle parameters,muscle strength,and grip strength were compared between the two groups during hospitalization.Results The duration of mechanical ventilation,ICU length of stay,and total length of hospital stay of the observation group were shorter than those of the control group,and the incidence of VAP was lower than that of the control group(all P<0.05).At 48 h after ICU admission,the cough peak flow and maximum inspiratory pressure of the observation group were higher than those of the control group(both P<0.05).At 1 week after ICU admission and at ICU discharge,the cross-sectional area of rectus femoris,thickness of rectus femoris,thickness of vastus intermedius,thickness of the tibialis anterior,thickness of biceps brachii,and thickness of flexor carpi radialis in the observation group were all greater than those in the control group,and the Medical Research Council score and the grip strength were better than those of the control group(all P<0.05).Conclusion Early progressive exercise is effective in bedside ultrasound monitoring of critically ill patients in the ICU,which can effectively reduce the ICU length of stay and the incidence of VAP,improve the respiratory muscle function,and enhance the muscle thickness,muscle strength and grip strength.
陈春桦;梁艳;梁意芳;潘俊民;李磊
贵港市人民医院,广西 贵港,537100
临床医学
重症监护病房危重患者床旁超声监测早期渐进性运动呼吸肌功能
intensive care unitcritically ill patientbedside ultrasound monitoringearly progressive exerciserespiratory muscle function
《中西医结合护理（中英文）》 2024 (002)
21-24 / 4
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