1. 河北医科大学第二医院康复医学二科,石家庄
2. 淮安市第一人民医院康复医学科,淮安
3. 河南翔宇医疗设备股份有限公司,安阳
纸质出版:2025
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刘岩松, 陆敏, 侯牧韶, 等. 局部振动联合早期康复干预防治重症患者ICU获得性衰弱的疗效观察[J]. 中华物理医学与康复杂志, 2025,47(9):827-833.
刘岩松, 陆敏, 侯牧韶, et al. 局部振动联合早期康复干预防治重症患者ICU获得性衰弱的疗效观察[J]. 2025, 47(9): 827-833.
目的观察局部振动联合早期康复干预防治重症患者ICU获得性衰弱(ICU-AW)的疗效及安全性。方法采用随机数字表法将96例重症患者分为对照组、康复组及联合组
每组32例。对照组给予常规治疗及护理
康复组在此基础上辅以早期康复干预
联合组则辅以局部振动疗法及早期康复干预。于治疗前、治疗2周后对3组患者进行疗效评估
具体评估项目包括ICU-AW发生率、急性生理与慢性健康评分-Ⅱ(APACHE-Ⅱ)、肌肉超声检查、机械通气时间、ICU住院时间、改良Barthel指数(MBI)评分及不良事件发生率等。结果干预后联合组ICU-AW发生率显著低于康复组及对照组水平(P<0.05)
康复组ICU-AW发生率亦显著低于对照组水平(P<0.05);联合组APACHE-Ⅱ评分显著低于康复组及对照组水平(P<0.05)
康复组APACHE-Ⅱ评分亦显著低于对照组水平(P<0.05);联合组股直肌、腹直肌、肱二头肌厚度、横截面积以及膈肌厚度、活动度均优于康复组及对照组(P<0.05)
康复组上述指标亦显著优于对照组(P<0.05);联合组机械通气时间及ICU住院时间均较康复组及对照组明显缩短(P<0.05)
康复组上述指标时长亦显著短于对照组(P<0.05);联合组MBI评分较康复组及对照组显著增加(P<0.05)
康复组MBI评分亦显著高于对照组(P<0.05);联合组不良事件发生率较康复组及对照组显著降低(P<0.05)
康复组不良事件发生率亦显著低于对照组水平(P<0.05)。结论局部振动联合早期康复干预能改善重症患者肌肉功能
减少ICU-AW及不良事件发生率
且具有较高的安全性。
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