个体化运动处方在ICU重症患者中的应用

Application of Individualized Exercise Prescription in ICU Patients with Severe Illness

目的:探讨个体化运动处方在ICU重症患者中的应用效果。方法:选取2020年2月—2021年2月安阳市第六人民医院重症医学科ICU收治的126例实施肠内营养的重症患者作为研究对象,采用随机数表法分为对照组和观察组,每组各63例。对照组采用常规运动干预,观察组采用个体化运动处方干预,比较两组患者的肠内营养情况、营养指标。结果:观察组肠内营养不耐受总发生率为20.63%,低于对照组的38.09%,差异有统计学意义(χ^(2)=4.629,P<0.05);观察组喂养中断次数为4.76%,低于对照组的15.87%,差异有统计学意义(χ^(2)=4.202,P<0.05)。干预前,两组患者身体质量指数(BMI)、血清总蛋白(TP)、血红蛋白(Hb)水平比较,差异无统计学意义(t=0.104、0.507、1.135,P>0.05);干预后,两组患者TP、Hb水平较干预前均明显升高,且观察组高于对照组;观察组BMI低于对照组,差异有统计学意义(t=3.883、9.949、2.064,P<0.05)。结论:个体化运动处方干预相比常规运动干预能够明显改善ICU重症患者的肠内营养耐受情况,降低喂养中断次数,改善营养指标,有利于患者的快速康复。

Objective:To explore the application effect of individualized exercise prescription in critically ill patients in ICU.Methods:A total of 126 severe patients with enteral nutrition who were admitted to the hospital’s ICU from February 2020 to February 2021 were selected as the research objects, and divided into a control group and an observation group by random number table method, with 63 cases in each group. The control group was given routine exercise intervention, and the observation group was given individualized exercise prescription intervention. The enteral nutrition and nutritional indexes of the two groups were compared.Results:The total incidence of enteral nutrition intolerance in the observation group was 20.63%, which was lower than38.09% in the control group, and the difference was statistically significant(χ^(2)=4.629, P<0.05). The number of feeding interruptions in the observation group was 4.76%, which was lower than 15.87% in the control group, and the difference was statistically significant(χ^(2)=4.202, P<0.05). Before intervention, there was no statistically significant difference in body mass index(BMI), serum total protein(TP) and hemoglobin(Hb) between the two groups(t=0.104, 0.507, 1.135, P>0.05). After the intervention, the level of TP, and Hb of the two groups were significantly increased compared with those before the intervention, and the observation group was higher than the control group, BMI was lower than the control group, and the difference was statistically significant(t=3.883, 9.949, 2.064, P<0.05).Conclusion:Compared with conventional exercise intervention, individualized exercise prescription intervention can significantly improve the enteral nutrition tolerance of critically ill patients in ICU, reduce the number of feeding interruptions, and improve nutritional indicators, which is conducive to the rapid recovery of patients, and is worthy of promotion and application.