渐进式早期康复训练护理应用于重症胰腺炎机械通气患者的效果分析  

Effect analysis of progressive early rehabilitation training and nursing on mechanical ventilation of patients with severe acute pancreatitis

作　　者：郑春梅[1] 李盘石[1] 杜丽华[1] ZHENG Chun-mei;LI Pan-shi;DU Li-hua(Intensive Care Unit,Dongguan People's Hospital in Guangdong Province,Dongguan 523059,China)

机构地区：[1]广东省东莞市人民医院重症医学科,广东东莞523059

出　　处：《中国当代医药》2021年第4期219-221,共3页China Modern Medicine

基　　金：广东省东莞市社会科技发展重点项目(201750715001464)。

摘　　要：目的探索对重症急性胰腺炎(SAP)机械通气患者予渐进式早期康复训练护理的临床效果。方法选取2018年11月~2019年10月因SAP在东莞市人民医院ICU机械通气的80例患者,按照随机数字表法分为两组,每组各40例。对照组给予常规护理模式,观察组在此基础上给予渐进式早期康复训练护理模式。出院时评价两组的一次性脱机成功率、机械通气时间、住院时间、疼痛评分、徒手肌力评定法评估患者肌力,握力器评估患者上肢握力情况,Barthel评分标准评估患者生活自理能力。结果观察组的一次性脱机成功率高于对照组、疼痛评分低于对照组,差异均有统计学意义(P<0.05)。且观察组的机械通气时间、住院时间短于对照组(P<0.05);观察组的肌力和握力评分高于对照组,观察组的Barthel评分高于对照组,差异均有统计学意义(P<0.05)。结论对SAP机械通气患者采用渐进式早期康复训练护理不仅能缩短机械通气时间、住院时间,还能有效提高患者生活质量,在临床有一定使用价值。Objective To explore the clinical effect of progressive early rehabilitation training and nursing on patients with severe acute pancreatitis(SAP)mechanical ventilation.Methods A total of 80 patients who underwent mechanical ventilation in the ICU of Dongguan People's Hospital from November 2018 to October 2019 were selected and divided into two groups according to the random number table method,40 cases in each group.The control group was given the conventional nursing,the observation group was given the progressive early rehabilitation training nursing based on that.The two groups were evaluated for one-time offline success rate,mechanical ventilation time,hospital stay,pain score,the medical research council to assess patient muscle strength.Grips were used to assess the patient's upper limb grip,Barthel scoring standard to assess patients'self-care ability.Results The observation group's one-off offline success rate was higher than that in the control group,the pain score was lower than that in the control group,the differences were statistically significant(P<0.05),and the mechanical ventilation time and hospital stay were shorter than those of the control group(P<0.05);the observation group's muscle strength and grip strength scores were higher than those of the control group,the Barthel score of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion The use of progressive early rehabilitation training for patients with SAP mechanical ventilation can not only shorten mechanical ventilation and hospital stay,but also effectively improve the quality of life of patients,which has certain clinical value.

关 键 词：急性胰腺炎 渐进式 早期康复训练 生活质量 临床效果 

分 类 号：R473[医药卫生—护理学]