早期运动疗法对老年机械通气患者谵妄的干预效果  

Intervention effect of early exercise therapy on delirium in elderly patients receiving ICU mechanical ventilation

作　　者：权明桃[1] 吴华炼 王勇[1] 王海燕[1] 黄仕明[1] 

机构地区：[1]遵义医学院附属医院重症医学科,563000

出　　处：《中华老年医学杂志》2016年第10期1099-1102,共4页Chinese Journal of Geriatrics

基　　金：贵州省遵义市红花岗区科技基金[遵红科合社字（2014）15号]

摘　　要：目的探讨早期运动疗法对重症监护病房（ICU）老年机械通气患者谵妄发生率的干预效果。方法将2014年3月至2015年3月收治ICU的85例老年机械通气患者随机分为对照组和干预组，对照组实施常规谵妄管理，干预组在常规谵妄管理的基础上实施早期运动疗法。结果干预组谵妄发生率为16．28％，明显低于对照组发生率35．71％，差异具有统计学意义（P〈0．05）；干预组机械通气时间为（102．12±25．16）h，与对照组机械通气时间（123．87±36．34）h相比，差异有统计学意义（P〈O．05）；两组患者首次发生谵妄的时间比较差异无统计学意义（P〉0．05），但谵妄发生的持续时间比较，差异有统计学意义（P〈0．05）；干预组ICU住院时间（7．78±5．06）d低于对照组（10．57±5．26）d，差异有统计学意义（P％0．05），总住院时间比较差异无统计学意义（P〉0．05）。结论早期运动疗法能有效降低ICU老年机械通气患者谵妄发生率，减少谵妄发生时间，缩短机械通气时间和ICU住院时间，优化患者临床结局。Objective To explore the intervention effect of early exercise therapy on the delirium incidence in eiderly patients receiving ICU mechanical ventilation. Methods Eight-five elderly patients undergoing ICU mechanical ventilation from March 2014 to March 2015 were randomly assigned to the control group and the experimental group. The control group was treated with the routine delirium management, and the intervention group was implemented with early exercise therapy on the basis of routine management of delirium. Results The incidence rate of delirium was statistically significant lower in the experimental group than in the control group （16.28% vs. 35.71%, P〈0. 05）. The duration of mechanical ventilation was statistically significant shorter in the experimental group than in the control group [（102. 12±25.16） h vs. （123.87 ±36.34） h, （P〈0. 05）3. No significant differences in the first-onset time of delirium were found between two groups （P〈0.05）, but the delirium duration had statistically significant difference between the two groups （P〈0.05）. The hospitalization duration was lower in ICU intervention group than in the control group [（7. 78 ± 5.06） d vs. （10. 57 ± 5.26） d,P〈0. 053. There was no statistically significant difference （P〉0. 05） in the total hospitalization time between the two groups. Conclusion For aged patients receiving ICU mechanical ventilation, the early exercise therapy effectively reduces＇the delirium incidence, the delirium-onset time, the duration of mechanical ventilation and ICU duration, and then improves the clinical outcome of patients.

关 键 词：老年患者 早期运动疗法 机械通气 谵妄 

分 类 号：R459.7[医药卫生—急诊医学]