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早期康复训练对ICU患者谵妄发生的影响

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目的 探讨重症加强护理病房(ICU)患者早期康复训练对谵妄发生的影响。方法 选取ICU收治的 88 例患者作为观察对象,基于随机抽签法分为对照组(常规康复训练)与观察组(早期康复训练),各 44 例。对比两组患者的谵妄发生率、恢复指标以及镇痛药物使用情况。结果 干预后 2、4 d,观察组患者的谵妄发生率(15。91%、4。55%)均低于对照组(36。36%、20。45%),差异显著(P<0。05)。观察组患者的机械通气治疗时间(3。52±1。18)d、ICU住院时间(6。22±1。04)d均短于对照组的(5。12±1。56)、(8。58±1。34)d,差异显著(P<0。05)。两组患者的镇痛药物使用时间、丙泊酚用量、右美托咪定用量、咪达唑仑用量对比,没有较大差异(P>0。05)。结论 在ICU患者治疗期间实施早期康复训练临床效果确切,可降低谵妄发生率,加快机体康复进度,值得临床推广应用。
The effect of early rehabilitation training on the occurrence of delirium in ICU patients
Objective To explore the effect of early rehabilitation training on the occurrence of delirium in intensive care unit(ICU)patients.Methods A total of 88 patients admitted to the ICU were selected as observation subjects.They were divided into a control group(routine rehabilitation training)and an observation group(early rehabilitation training)based on a random lottery method,each consisting of 44 cases.The incidence of delirium,recovery indicators,and analgesic drug use of the two groups were compared.Results After 2 and 4 d of intervention,the incidence rates of delirium in the observation(15.91%and 4.55%)were lower than those of the control group(36.36%and 20.45%),and there was a significant difference(P<0.05).The observation group had duration of mechanical ventilation of(3.52±1.18)d and length of ICU stay of(6.22±1.04)d,which were shorter than(5.12±1.56)and(8.58±1.34)d in the control group,and there was a significant difference(P<0.05).There was no significant difference in duration of analgesic drug use,propofol dosage,dexmedetomidine dosage,midazolam dosage between the two groups(P>0.05).Conclusion Early rehabilitation training during the treatment of ICU patients has a definite clinical effect,which can reduce the incidence of delirium,accelerate the progress of body rehabilitation,and is worthy of clinical promotion and application.

Early rehabilitation trainingIntensive care unitDelirium

钟晓芳、陈惠川、柯晓辉

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361000 厦门大学附属第一医院重症医学科

早期康复训练 重症加强护理病房 谵妄

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(24)