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早期康复训练对ICU患者谵妄发生的影响

The effect of early rehabilitation training on the occurrence of delirium in ICU patients

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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.
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)