毛玉瑢,黄东锋,管向东,李晓鹏,陈正宏.外科重症监护室中物理治疗对于患者的干预效应和结局分析[J].中国康复医学杂志,2010,25(9):850~853 |
外科重症监护室中物理治疗对于患者的干预效应和结局分析 点此下载全文 |
毛玉瑢 黄东锋 管向东 李晓鹏 陈正宏 |
中山大学附属第一医院康复医学科,广东广州,510080 |
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摘要: |
摘要
目的:探讨早期物理治疗在外科重症监护室(SICU)实施的安全性和有效性,及对术后患者功能恢复的影响。
方法:对手术后进入SICU中的患者,麻醉作用消失后,病情处于相对稳定状态时(一般术后24h内),实施早期物理治疗,观察患者治疗中的反应,并评估患者治疗前后氧分压(PO2)、通气与血氧饱和度(FiO2/SpO2)比例,生命体征,心肺功能情况变化,患者在SICU停留时间及并发症等。
结果:物理治疗前后PO2、FiO2/SpO2及各项生命体征无明显变化(P>0.05),但肺部X片检查显示浸润性炎症吸收较快,停留在SICU时间缩短,无一例发生下肢深静脉栓塞。
结论:早期物理治疗应用于术后SICU患者是安全和有效的,并能缩短患者在SICU住院时间以减少医疗费用,并降低并发症的发生。 |
关键词:重症监护 手术 早期物理治疗 |
A study of physical therapy in surgery intensive care unit Download Fulltext |
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Dept. of Rehabilitation Medicine, The first Affiliated Hospital, Sun Yat-sen University, Guangdong, 510080 |
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Abstract
Objective: To discuss the security and validity of early physical therapy (PT) in surgery intensive care unit (SICU). Method: The patients were accepted PT with stabile life sigh and narcosis dissolved in SICU after surgery. All patients were observed with outcome during PT, recorded with PO2, FiO2/SpO2, HR, R, BP and duration time of staying in SICU.
Result: Before and after PT, there were not evident changes with PO2, FiO2/SpO2, HR, R, BP. However, their pneumonia disappeared faster and reduction the time of staying in SICU. No patient has DVT.
Conclusion: Early physical therapy is safe and effective, and it reduces the time of staying in SICU, syndrome and the cost of patients. |
Keywords:intensive care unit surgery early physical therapy |
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