指压穴位刺激配合肢体功能锻炼预防ICU获得性衰弱的效果研究

Study on the efficacy of acupoint press stimulation combined with limb function exercise in the treatment of ICU acquired weakness

目的观察指压穴位刺激配合肢体功能锻炼对ICU获得性衰弱患者的干预效果。方法选取研究对象随机分组,其中对照组30例采用常规肢体功能锻炼,实验组30例在肢体功能锻炼的基础上配合使用指压穴位刺激。计算两组患者住院时间、ICU-AW发生率、Barthel指数评分,Fugl-Meyer运动功能评分方面的差异。结果两组患者在性别、年龄、急性生理与慢性健康评分系统Ⅱ(APACHEAⅡ)评分等方面差异均无统计学意义(P>0.05)。在住院时间、ICU-AW发生率、Fugl-Meyer运动评分比较差异均有统计学意义(P<0.05);同时,实验组Barthel指数评分明显高于对照组(P<0.01)。结论指压穴位刺激配合肢体功能锻炼可减少ICU-AW的发生率,提高患者出院后的生活自理能力。

Objective Observe the efficacy of acupoint press stimulation combined with limb function exercise in the treatment of ICU acquired weakness. Methods Research objects were randomly grouping. The control group （30 cases） taken conventional limb functional exercise, 30 cases in the experimental group received the use acupressure on the basis of stimulation limb functional exercise. Calculated and compared the differences hospitalization time, ICU - AW incidence, Barthel index score and Fugl - Meyer motor function score of the two groups. Results The difference of gender, age, acute physiology and chronic health evaluation system Ⅱ （APACHEA IT ） had no statistical significance between the two groups （P 〉 0. 05 ）. The differences of hospitalization time, the incidence rate of ICU - AW and Fugl - Meyer movement scores of two groups of patients were statistically significant （ P 〈 O. 05 ）. The Barthel index score of the experimental group was significantly higher than that of the control group （ P 〈 O. O1 ）. Conclusions Acupressure acupoint stimulation combined with limb function exercise can reduce the incidence of ICU -AW, improve the self - care ability of patients after discharge.