康复干预对ICU脑卒中患者安全性的相关研究  

The related research of the safety on ICU patients with rehabilitation interventions

作　　者：陈冬青[1] 郑敏[1] 汤舜銮[1] 赵仲和[1] 

机构地区：[1]汕头市中心医院理疗科,515031

出　　处：《中国实用医药》2011年第11期56-57,共2页China Practical Medicine

摘　　要：目的研究重症监护室(ICU)重症脑卒中患者在病情相对稳定后行早期康复治疗并观察其安全性。方法康复组患者病情相对稳定后且在严密监护情况下,行心理辅导,早期吞咽功能训练及简单发音训练,胸肺物理治疗,头、颈部躯干及四肢的早期主、被动康复运动治疗及感应电治疗。对照组则以常规内科药物治疗。结果康复组患者院内感染率、压疮发病率及下肢静脉血栓形成均明显低于对照组,在统计学上差异有统计学意义(P<0.05)。而室性心律失常、急性左心衰竭、脑疝的发病率,康复组与对照组相比,差异无统计学意义(P>0.05)。结论 ICU的重症脑卒中患者,在病情相对稳定后针对病情特点,制定相应康复治疗方案,予早期康复干预治疗应为可行、安全的。Objective To study the effect and safety and of early rehabilitation interventions on ICU patients with severe stroke under relatively stable condition Methods The ICU patients in rehabilitation group performed the psychological counseling,training and early swallowing simple pronunciation training,chest physical therapy,head,neck,trunk and limbs of the early active and passive rehabilitation exercise therapy and induction electrical treatment after relatively stable condition and close guardianship.The ICU patients in control group performed routine medical drug treatment.Results The nosocomial infection rate,the incidence of pressure ulcers and lower extremity venous thrombosis were significantly lower in rehabilitation group than that in the control group with statistically significant difference（P 〈0.05）.And there were no statistical difference（P 〉0.05） of the incidence of ventricular arrhythmia,acute left ventricular failure,brain herniation between the rehabilitation group and the control group.Conclusion The early rehabilitation interventions have feasible effect and safety in the ICU patients with severe stroke under the relatively stable condition

关 键 词：重症脑卒中 重症监护室 康复治疗 安全性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]