Application Value of Early Treadmill Passive Rehabilitation Training in Patients with Mechanical Ventilation
Objective To observe the clinical effect of early treadmill passive rehabilitation training on patients with mechanical ventilation(MV).Methods 78 MV patients admitted to the second ward of Intensive Care Unit(ICU)of the Second Affiliated Hospital of Jinzhou Medical University from June 2023 to July 2023 were selected,the patients were randomly divided into observation group(39 cases)and control group(39 cases).The control group was evaluated by the doctor after the patient was awake and able to cooperate.The patient's condition was relatively stable.After rehabilitation training,the nurse guided the patient to carry out reha-bilitation training such as leg lifting and stretching,twice a day,for 45 minutes each time;in the observation group,patients were given passive treadmill rehabilitation training for both lower limbs.After 24 hours of MV,the doctor assessed the patient's condition was relatively stable.After rehabilitation training,patients were given passive treadmill training according to the instructions twice a day,for 45 minutes each time.The other treatment and nursing of the two groups were basically the same.The oxygenation index after 3 days of lower limb passive training and before being transferred out of ICU,and the MV time,total hospital stay,reintubation rate,muscle strength score of the Medical Research Council(MRC)before being transferred out of the ICU,and the incidence of ICU ac-quired weakness(ICU-AW)were compared between these two groups.Results Compared with the control group,the oxygenation index of patients in the observation group increased significantly 3 days after intervention and before being transferred out of ICU,the MV time,total hospital stay and reintubation rate in the observation group were significantly reduced,the MRC muscle strength score of patients in the observation group increased significantly before being transferred out of ICU,the incidence of ICU-AW decreased significantly,and the difference was statistically significant(P<0.05).Conclusion The application of lower extremity treadmill passive training in the early rehabilitation practice of MV patients in ICU can improve the muscle strength of patients,reduce the inci-dence of ICU-AW,improve the oxygenation index,reduce the reintubation rate,and reduce the MV time and total hospital stay
early stagelower extremitypassiverehabilitation trainingmechanical ventilation
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