外科重症监护室中物理治疗对于患者的干预效应和结局分析

关键词：重症监护  手术  早期物理治疗

Keywords:intensive care unit  surgery  early physical therapy

摘要：

      摘要 目的：探讨早期物理治疗在外科重症监护室(SICU)实施的安全性和有效性，及对术后患者功能恢复的影响。 方法：对手术后进入SICU中的患者，麻醉作用消失后，病情处于相对稳定状态时（一般术后24h内），实施早期物理治疗，观察患者治疗中的反应，并评估患者治疗前后氧分压（PO2）、通气与血氧饱和度(FiO2/SpO2)比例，生命体征，心肺功能情况变化，患者在SICU停留时间及并发症等。 结果：物理治疗前后PO2、FiO2/SpO2及各项生命体征无明显变化（P＞0.05），但肺部X片检查显示浸润性炎症吸收较快，停留在SICU时间缩短，无一例发生下肢深静脉栓塞。 结论：早期物理治疗应用于术后SICU患者是安全和有效的，并能缩短患者在SICU住院时间以减少医疗费用，并降低并发症的发生。

Abstract:

      Abstract Objective: To discuss the security and validity of early physical therapy (PT) in surgery intensive care unit (SICU). Method: The patients were accepted PT with stabile life sigh and narcosis dissolved in SICU after surgery. All patients were observed with outcome during PT, recorded with PO2, FiO2/SpO2, HR, R, BP and duration time of staying in SICU. Result: Before and after PT, there were not evident changes with PO2, FiO2/SpO2, HR, R, BP. However, their pneumonia disappeared faster and reduction the time of staying in SICU. No patient has DVT. Conclusion: Early physical therapy is safe and effective, and it reduces the time of staying in SICU, syndrome and the cost of patients.