肢体功能锻炼强度对外科icu患者康复效果的影响

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1、中华护理杂志2014年2月第49卷第2期蹿謦肢体功能锻炼强度对外科ICU患者康复效果的影响叶向红江方正郑桃花彭南海李维勤【摘要】目的研究运用卧床运动治疗器加强功能锻炼在外科危重患者康复中的作用。方法将外科ICU允许进行床上功能锻炼的危重患者100例随机分为2组．患者急性生理与慢性健康评分表(APACHEⅡ)评分均／>8分，预计卧床≥7d。实验组采用自行设计的卧床运动治疗器，自运动开始5d内达目标运动量：对照组采用常规床上锻炼方法。结果2组锻炼前后体重比较．差异无统计学意义。实验组的肌肉总量和骨骼肌从锻炼后第

2、7天开始与对照组相比有显著增加．差异有统计学意义(P<0．01或P

3、，节省护士工作量，有助于促进重症患者的康复【关键词】身体锻炼；康复；危重病人医疗Efectofearlyexerciseontherehabilitationofcriticallyillpatientsinthesurgicalintensivecareunit／YEXiang—hong，JIANGFang-zheng，ZHENGTao-hua，PENGNan-hai，LIWei-qin／／ChineseJournalofNursing，-2014。49(2)：143．【Abstract】Objectiv

4、eToevaluatetheeffectsofbedsideexercisetherapeuticequipmentintherehabilitationofcriticallyillpatientsinthesurgicalintensivecareunit(SICU)．MethodsOne—hundredcriticallyillpatientsinSICUwhowereallowedtotakefunctionalexerciseinbedwererandomlydividedintotwogroup

5、s．Thepatients’APACHEIIscorewere≥8andwereexpectedtobeinbedformorethansevendays．Thepatientsintheexperi．mentalgroupperformedexerciseusingaself-designedbedsideexercisetherapeuticequipmentandachievedtothetargetamountofexercisewithinfivedays，whilethepatientsinth

6、econtrolgroupperformedroutineexercise．ResultsNosignificantdifferenceswerefoundinthebodyweightbetweenthetwogroupsbeforeandafterexercise(P>0．05)．Comparedwiththecontrolgroup，themusclecontentandskeletonmuscleintheexperimentalgroupweresignifi—cantlyhigheraftert

7、akingexercisefor7days(P

8、or14days(P<0．05)；theimmunityindex(CD4／CD8)intheexperimentalgroupstartedtoincreasesincethethirdday，andincreasedmarkedlyaftertakingexercisefor7daysand14days(P<0．01)．Moreover，themechanicalventilationtimeandICUst