急性心肌梗死心源性休克患者渐进式早期康复训练
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上海市卫生计生系统重要薄弱学科建设(护理学)基金项目(2015ZB0304)


Progressive early rehabilitation training for patients developing cardiogenic shock from acute myocardial infarction
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    摘要:

    目的 探讨急性心肌梗死心源性休克患者实施渐进式早期康复训练的效果。方法 选取65例机械通气的急性心肌梗死心源 性休克患者,根据入院时间顺序分为对照组32例和干预组33例,两组均常规应用综合药物治疗和给予系统的集束化护理,干预 组在此基础上实施渐进式早期康复训练,比较两组的干预效果。结果 干预后干预组患者 Barthel指数评分、握力及一次脱机成功 率显著高于对照组,机械通气时间显著短于对照组(P<0.05,P

    Abstract:

    Objective To investigate the effect of progressive early rehabilitation training for patients developing cardiogenic shock from acute myocardial infarction. Methods A total of 65 patients developing cardiogenic shock from acute myocardial infarction were divided into 2 groups according to the admission order . All the patients were given routine medication and systematic bundle care, and the intervention group additionally received progressive early rehabilitation training. The effect of the two groups was compared. Results In the intervention group, the Barthel Index score, grip values, and the rate of successful weaning from mechanical ventilation at the first attempt were significantly higher than those in the controls; mechanical ventilation time was significantly shorter in the former than in the latter(P<0.05,P<0.01). Conclusion Progressive early rehabilitation training can shorten mechanical ventilation time in patients developing cardiogenic shock from acute myocardial infarction, and raise the rate of successful weaning at the first attempt. The practice also accelerate the recovery of the patient′s muscle strength and activities of daily life, and reduce the incidence of delirium in ICU.

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王小琴,梁红梅,裴传凤,杨昕.急性心肌梗死心源性休克患者渐进式早期康复训练[J].护理学杂志,2019,34(23):72-74

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  • 收稿日期:2019-05-21
  • 最后修改日期:2019-08-15
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  • 在线发布日期: 2022-08-09