中国中西医结合急救杂志2025，Vol.32Issue(1)：55-59,5.DOI:10.3969/j.issn.1008-9691.2025.01.010
阶梯式早期活动方案结合下肢关节康复器在机械通气患者中的应用效果
Application effect of the stepped early activity program combined with lower limb joint rehabilitation devices in patients with mechanical ventilation
摘要
Abstract
Objective To observe the effects of a stepped early activity program combined with lower limb joint rehabilitation devices in mechanically ventilated patients in the intensive care unit(ICU).Methods Sixty mechanically ventilated patients admitted to the ICU of Tianjin First Central Hospital from October 2022 to June 2023 were selected as study subjects and randomly divided into an intervention group(n=30)and a control group(n=30)using a random number table.The control group received routine rehabilitation nursing combined with lower limb joint rehabilitation devices,while the intervention group was additionally treated with the stepped early activity program.The duration of mechanical ventilation,length of ICU stay,incidence of delirium,Medical Research Council(MRC)muscle strength scores,phase angle(PA),and skeletal muscle mass index(SMI)were compared between the two groups.Results The intervention group showed significantly shorter durations of mechanical ventilation and the length of ICU stay compared to the control group[mechanical ventilation time(days):9.20±4.51 vs.11.73±4.59,the length of ICU stay(days):10.73±5.37 vs.14.00±6.03,both P<0.05].Post-intervention MRC muscle strength scores,PA,and SMI significantly increased in both groups,with greater improvements observed in the intervention group[MRC muscle strength score:54.17±2.10 vs.50.17±3.51;PA(°):5.80±0.60 vs.5.49±0.54;SMI(kg/m2):6.87±0.46 vs.6.62±0.45,all P<0.05].No statistically significant difference was found in delirium incidence between the two groups[26.7%(8/30)vs.33.3%(10/30),P>0.05].Conclusion The combination of a stepped early activity program and lower limb joint rehabilitation devices effectively shortens mechanical ventilation time and the length of ICU stay,restores muscle strength,and promotes recovery in mechanically ventilated ICU patients,demonstrating significant clinical value.关键词
重症监护病房/机械通气/早期活动/下肢关节康复器/肌力Key words
Intensive care unit/Mechanical ventilation/Early activity/Lower limb joint rehabilitation device/Muscle strength引用本文复制引用
朱艳飞,赵旭,骆宁,司梅梅,林竹,周璨,李寅..阶梯式早期活动方案结合下肢关节康复器在机械通气患者中的应用效果[J].中国中西医结合急救杂志,2025,32(1):55-59,5.基金项目
天津市卫生健康科技项目(TIWJ2022XK023)Tianjin Health Science and Technology Project(TJWJ2022XK023) （TIWJ2022XK023）
