朱云龙,袁光雄,许俊[],龙臣[],冯文斌[].早期康复训练对严重脓毒症患者ICU获得性肌无力的影响[J].内科急危重症杂志,2016,22(1):
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| DOI： |
| 中文关键词: 康复训练,严重脓毒症,ICU获得性肌无力 |
| 英文关键词:rehabilitation training,Severe sepsis,ICU-acquired Muscle Weakness |
| 基金项目:湖南省湘潭市卫生局医学科研项目(xtyxky201317),湘潭市科技局科技项目(ZJ20131015) |
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| 中文摘要: |
| 目的 探讨ICU严重脓毒症患者获得性肌无力早期康复训练的作用。方法 对2013年3月至2015年2月期间入住我院ICU的32例严重脓毒症患者，分为早期康复训练组和晚期康复训练组。比较发病第1、3、6月改良Barthel指数评分（MBI）、MRC总分值、机械通气时间、ICU住院时间以及总住院时间等指标。结果 早期康复训练组在机械通气时间、ICU住院时间、总住院时间方面均较晚期康复组明显减少（P值均<0.05）。晚期康复训练组在第1、3个月，处于瘫痪状态，而早期康复训练组在第3个月四肢肌力及日常生活能力（MBI）方面基本恢复到正常状态，两组MRC总分及MBI比较差异有统计学意义（P值均<0.05）。结论 早期康复训练可减少严重脓毒症患者机械通气及住院的时间，改善患者的四肢肌力及日常生活能力。 |
| 英文摘要: |
| Objective To explore the early rehabilitation training on patients with severe sepsis acquired muscle weakness in the ICU. Methods During March 2013 to February 2015, 60 patients admitted to the ICU patients, randomly divided into early rehabilitation training and late rehabilitation training. Compare the onset of 1、3、6months improve the Bethel index score (MBI), MRC total value, mortality, mechanical ventilation time and ICU length of hospital stay and the total length of hospital stay, etc.Results Early rehabilitation training, a 19.6% decline in death rates as a late rehabilitation training (P<0.05), the difference was statistically significant. Early rehabilitation training on mechanical ventilation time and ICU length of hospital stay, the total length of hospital stay were relatively late rehabilitation group decreased significantly(P<0.05).Late rehabilitation training in 1、3 months, paralyzed, and early rehabilitation training on limbs muscle and daily life ability of 3 months (MBI) basic returned to normal, the MRC scores and MBI is similar between the two groups was statistically significant(P<0.05).Conclusion early rehabilitation training can make patients early weaning, reduce disability, shorten the course of the disease, improve the prognosis. |
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