| 引用本文: |
王科,许毅,张艳.中医按摩配合早期运动用于ICU机械通气患者的临床疗效研究[J].湖南中医药大学学报,2018,38(5):554-557[点击复制] |
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| 中医按摩配合早期运动用于ICU机械通气患者的临床疗效研究 |
| 王科,许毅,张艳 |
| (重庆市急救中心神经外科, 重庆 400000) |
| 摘要: |
| 目的 研究中医按摩配合早期运动用于重症监护室（ICU）机械通气患者的临床疗效。方法 纳入52例接受ICU机械通气治疗的患者作为研究对象，随机抽签分为观察组和对照组，每组各26例。两组ICU住院期间均行常规护理干预，观察组在常规护理基础上行中医按摩配合早期运动训练。比较两组转出ICU时肌力、患者生活自理能力及胃肠功能恢复情况。结果 住院期间两组均未发生死亡病例，观察组患者离开ICU时英国医学研究理事会（MRC）肌力分级和总体生活自理能力均优于对照组，差异有统计学意义（P<0.05）。观察组急性胃肠损伤（AGI）分级优于对照组，差异有统计学意义（P<0.05）。结论 中医按摩配合早期运动训练用于机械通气患者能显著改善肌力和生活自理能力，有助于胃肠功能恢复。 |
| 关键词: 中医按摩 早期运动 ICU 机械通气 |
| DOI：10.3969/j.issn.1674-070X.2018.05.017 |
| 投稿时间：2018-01-17 |
| 基金项目:重庆市科技计划项目（201408071）。 |
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| Effect of Chinese Medicine Massage Combined with Early Exercise on Patients with ICU Mechanical Ventilation |
| WANG Ke,XU Yi,ZHANG Yan |
| (Department of Neurosurgery, Emergency Center of Chongqing, Chongqing 400000, China) |
| Abstract: |
| Objective To study the effect of Chinese medicine massage combined with early exercise on patients with ICU mechanical ventilation. Methods The 52 patients received the ICU mechanical ventilation were included in the study. They were randomly divided into the observation group and control group, 26 cases in each group. The routine nursing intervention was performed in the two groups during ICU in hospital. The observation group was given Chinese medicine massage combined with early exercise on the basis of routine nursing intervention. The ICU muscle strength, patient's self-care ability and the recovery of gastrointestinal function of the two groups were compared after turning out of ICU. Results There were no deaths in the two groups during hospitalization. The MRC muscle strength classification and the overall self-care ability of the observation group were better than the control group after leaving ICU, the differences were statistically significant (P<0.05). The AGI classification in observation group was better than that of the control group, the difference was statistically significant (P<0.05). Conclusion The Chinese medicine massage combined with early exercise training could significantly improve the ability of muscle strength and self-care in patients with mechanical ventilation, and it could help to recover the gastrointestinal function. |
| Key words: Chinese medicine massage early exercise ICU mechanical ventilation |
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