基于多学科协作模式下心肺康复对ICU获得性衰弱患者的MRC评分及治疗效果的影响

Effect of cardiopulmonary rehabilitation in ICU acquired asthenia patients based on multidisciplinary cooperation model

目的观察多学科协作模式下心肺康复治疗对ICU获得性衰弱(ICU acquired weakness,ICU-AW)患者的临床疗效。方法选取2016年6月至2018年6月某院ICU住院的ICU-AW患者100例为对照组,按照心肺康复治疗干预。选取2018年7月至2020年7月期间ICU住院ICU-AW患者100例作为观察组,采用多学科协作诊治(MDT)模式制定并实施心肺康复治疗干预;观察两组患者机械通气后第1、4、7天MRC-score评分以及患者机械通气时长、ICU住院时长、患者满意度、呼吸机相关性肺炎(VAP)发生情况。结果在机械通气第1天,两组患者MRC-score评分差异无统计学意义(P>0.05),但第4、7天观察组MRC-score评分则高于对照组,差异具有统计学意义(P<0.05);观察组在ICU停留时间、住院时间、机械通气时间、满意度评分均优于对照组,差异有统计学意义(P<0.05)。结论MDT模式下心肺康复治疗可以有效恢复患者的机体活动能力,并缩短患者在ICU的停留时间及整体治疗时间、提高患者满意度,值得推广应用。

Objective To observe the clinical effects of cardiopulmonary rehabilitationin ICU-AW patients under multidisciplinary assistance mode.Methods A total of 100 ICU-AW patients admitted in the ICU of our hospital from June 2016 to June 2018 were selected as the control group,and cardiopulmonary rehabilitation treatment intervention was followed.A total of 100 ICU patients hospitalized in ICU-AW from July 2018 to July 2020 were selected as the observation group,and the MDT model was adopted to develop and implement cardiopulmonary rehabilitation treatment intervention.Mrc-score scores,length of mechanical ventilation,length of ICU stay,patient satisfaction,and occurrence of ventilator-associated pneumonia(VAP)were observed on day 1,4,and 7 after mechanical ventilation in the 2 groups.Results On the first day of mechanical ventilation,there was no statistical difference in mrc-score score between the two groups(P>0.05),but the MRC score of the 4th and 7th day of mechanical ventilation was higher than that of the control group(P<0.05).The length of stay in ICU,length of stay in hospital,duration of mechanical ventilation,and satisfaction scores of the observation group were all better than the control group,with statistically significant differences(P<0.05).Conclusion The cardiopulmonary rehabilitation therapy under MDT mode can effectively restore the body activity ability of patients,shorten the stay time and overall treatment time of patients in ICU,and improved patients′satisfaction,is worth to be promoted and applicated.