多学科康复小组及分级运动对ICU机械通气患者术后康复的影响  

Influence of multidisciplinary rehabilitation group and graded exercise on postoperative rehabilitation of ICU mechanically ventilated patients

作　　者：唐静[1] 杨娜[1] 吕扬[1] Tang Jing;Yang Na;Lv Yang(Stroke Intensive Care Unit,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院重症医学科,北京100020

出　　处：《中华保健医学杂志》2022年第2期140-142,共3页Chinese Journal of Health Care and Medicine

基　　金：北京市属医院科研培育计划(PG2018005)。

摘　　要：目的探讨多学科康复小组及分级运动对重症监护病房(ICU)机械通气患者术后康复的影响。方法前瞻性选取2020年6月~2021年5月首都医科大学附属北京朝阳医院收治的174例患者,按随机数表法分为观察组与对照组,各87例。对照组患者给予常规治疗,在病情稳定后进行常规康复训练;观察组患者在对照组基础上组建多学科康复小组并对患者采取分级运动方式进行康复训练。结果观察组机械通气时间、ICU住院时间、总住院时间显著少于对照组,差异有统计学意义(P<0.05);两组干预后MRC评分、FIM评分、MBI评分显著高于干预前,且观察组显著高于对照组,差异有统计学意义(P<0.05);两组干预后CD4+、CD4+/CD8+显著高于干预前,CD8+显著低于干预前,且观察组干预后CD4+、CD4+/CD8+显著高于对照组,CD8+显著低于对照组,差异有统计学意义(P<0.05);观察组ICU获得性肌无力发生率及总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论多学科康复小组及分级运动可降低ICU机械通气患者发生获得性肌无力的风险。Objective To investigate the effect of multidisciplinary rehabilitation group and graded exercise on postoperative rehabilitation of mechanically ventilated patients in intensive care unit(ICU).Methods A total of 174 patients admitted to our hospital from June 2020 to May 2021 were selected,and they were divided into observation group and control group according to the random number table method,with 87 cases in each group.Patients in the control group were given routine treatment,and routine rehabilitation training was performed after the condition was stabilized.Patients in the observation group formed a multidisciplinary rehabilitation team on the basis of the control group and carried out rehabilitation training with graded exercises.Results The mechanical ventilation time,ICU hospitalization time,and total hospitalization time of the observation group were significantly less than those of the control group(P<0.05).The MRC,FIM and MBI scores of the two groups after the intervention were significantly higher than those before the intervention,and the observation group were significantly higher than those of the control group(P<0.05).CD4+,CD4+/CD8+after intervention in the two groups were significantly higher than before intervention,and CD8+was significantly lower than before intervention(P<0.05).CD4+,CD4+/CD8+in the observation group were significantly higher than those in the control group after intervention,and CD8+was significantly lower than in the control group(P<0.05).The incidence and total incidence of ICU acquired myasthenia in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Multidisciplinary rehabilitation teams and graded exercises can reduce the risk of acquired muscle weakness in ICU mechanically ventilated patients.

关 键 词：多学科康复小组 分级运动 重症监护病房 机械通气 获得性肌无力 

分 类 号：R49[医药卫生—康复医学]