早期康复治疗对综合ICU患者近期预后的影响  

Effect of Early Rehabilitation Treatment on Short-Term Prognosis of Patients in General ICU

作　　者：郭军辉[1,2] 徐磊[3] 赵英[2] 苏海华[2] 

机构地区：[1]天津医科大学三中心临床学院,天津300170 [2]海洋石油总医院 [3]天津市第三中心医院

出　　处：《中国医学创新》2016年第2期129-132,共4页Medical Innovation of China

摘　　要：目的:探讨早期康复治疗对综合ICU患者近期预后的影响。方法:选择2014年7月-2015年7月本院综合ICU的86例患者作为研究对象,采用随机数字表法将其分为康复组和对照组,每组43例。对照组采用ICU常规治疗,康复组在对照组基础上同时接受由专业康复团队进行的早期康复治疗。比较两组不良事件(心律失常、心力衰竭、坠床、管路脱出、压疮、下肢深静脉血栓)发生情况、28 d死亡情况、ICU住院时间、机械通气时间、APACHEⅡ评分及患者生活自理能力(采用BI指数评定)。结果:两组不良事件发生情况、APACHEⅡ评分、28 d死亡率比较,差异均无统计学意义(P>0.05);治疗后第28天两组BI指数均高于治疗前,比较差异均有统计学意义(P=0.000);康复组ICU住院时间、机械通气时间、治疗后第28天BI指数均优于对照组,比较差异均有统计学意义(P<0.05)。结论:综合ICU中进行早期康复治疗能缩短患者ICU住院时间、机械通气时间,提高危重症患者的基本生活能力,由专业康复团队对重症患者进行早期康复治疗是安全有效的。Objective：To investigate the effect of early rehabilitation treatment on short-term prognosis of patients in general ICU.Method：86 patients admitted in the general ICU of our hospital from July 2014 to July 2015 were selected and randomly divided into the rehabilitation group and the control group,each group had 43 patients. All patients were given routine treatment while patients in the rehabilitation group were given early rehabilitation treatment conducted by professional rehabilitation team on the basis of routine treatment.The incidence of adverse events（arrhythmia,heart failure,drop of bed,line out,pressure sores,deep vein thrombosis of lower limbs）, 28-day mortality,ICU stay,duration of mechanical ventilation,APACHEⅡ score,self-care ability of daily life[evaluated by Barthel index （BI）] were compared between the two groups.Result：There were no statistically significant differences in the incidence of adverse events,APACHEⅡ score and 28-day mortality between the two groups（P〉0.05）.The BI indexes after 28 days of treatment in the two groups were all higher than those before treatment,the differences were statistically significant（P=0.000）.Compared with the control group,patients in the rehabilitation group had shorter ICU stay,shorter duration of mechanical ventilation and higher BI index after 28 days of treatment,the differences were all statistically significant（P〈0.05）.Conclusion：In general ICU,early rehabilitation treatment can reduce ICU stay and duration of mechanical ventilation,improve basic life skills of critically ill patients.Early rehabilitation treatment conducted by professional rehabilitation team is safe and effective for intensive patients.

关 键 词：综合ICU 早期康复治疗 近期预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]