| 谢艺妙,倪朝民,吴 鸣,曾林芳,陈苏徽,陈 静.早期综合康复干预对机械通气患者谵妄发生的影响[J].中国康复医学杂志,2021,(8):953~957 |
| 早期综合康复干预对机械通气患者谵妄发生的影响 点此下载全文 |
| 谢艺妙 倪朝民 吴 鸣 曾林芳 陈苏徽 陈 静 |
| 安徽医科大学附属省立医院康复医学科，合肥市，230000 |
| 基金项目： |
| DOI：10.3969/j.issn.1001-1242.2021.08.009 |
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| 摘要： |
| 摘要
目的：观察早期综合康复干预对机械通气患者谵妄发生的影响。
方法：选取104例机械通气患者，按照随机数字表法分为观察组和对照组，每组52例，因在ICU期间共死亡5例（其中观察组1例，对照组4例），最终有99例患者完成本研究。两组患者均给予ICU常规护理，观察组患者在此基础上由康复治疗师协助进行运动治疗、呼吸功能训练和认知功能训练等早期综合康复干预。对两组患者在ICU14天内谵妄发生率、谵妄持续时间、机械通气持续时间、使用镇痛镇静药情况进行比较。
结果：观察组患者的谵妄发生率、谵妄持续时间和机械通气持续时间少于对照组（P<0.05），两组患者镇痛镇静剂的使用时间、类型及剂量均无显著差异（P>0.05）.
结论：早期综合康复干预能降低机械通气患者谵妄的发生率，缩短谵妄的持续时间和机械通气持续时间。 |
| 关键词：运动治疗 呼吸功能训练 认知功能训练 机械通气 谵妄 |
| Effects of early comprehensive rehabilitation intervention on the occurrence of delirium in patients with mechanical ventilation Download Fulltext |
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| Dept. of Rehabilitation Medicine， Provincial Hospital Affiliated to Anhui Medical University， Hefei，230000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：Observe the effect of early comprehensive rehabilitation intervention on the occurrence of delirium in patients with mechanical ventilation.
Method：Totally 104 mechanically ventilated patients were selected and divided into observation group and control group according to the random number table method， 52 cases in each group， 5 cases died during ICU (including 1 case in observation group and 4 cases in control group)， Finally 99 cases completed the study. Both groups of patients were given ICU routine care. On this basis， patients in the observation group were assisted by rehabilitation therapists in early comprehensive rehabilitation interventions such as exercise therapy， respiratory function training and cognitive function training. The incidence and duration of delirium， the duration of mechanical ventilation， and the use of sedatives were compared between the two groups of patients within 14 days of ICU.
Result：The incidence of delirium， the duration of delirium and the duration of mechanical ventilation in the observation group were less than those in the control group (P<0.05). There was no significant difference in the use time， type and dose of sedatives between the two groups (P>0.05).
Conclusion：Early comprehensive rehabilitation intervention can reduce the incidence of delirium in patients with mechanical ventilation， shorten the duration of delirium and the duration of mechanical ventilation. |
| Keywords:exercise therapy respiratory function training cognitive function training mechanical ventilation delirium |
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