摘要
目的分析神经肌肉电刺激联合渐进性运动训练在脓毒症合并急性肾损伤患者中的应用效果,为该类患者康复方案的制订提供参考。方法选择2019年6月—2022年10月医院收治的82例脓毒症合并急性肾损伤患者,按照组间资料均衡可比的原则将患者分为观察组与对照组,每组41例。对照组接受常规护理、渐进性运动训练干预,观察组在对照组基础上采用神经肌肉电刺激干预方法,两组均干预至出院。比较两组患者ICU入住时间、机械通气时间及ICU获得性衰弱、压力性损伤发生率,对比两组患者干预前、出院时肌肉总含量、骨骼肌含量及巴氏评分(BI)。结果干预后,观察组患者ICU入住时间、机械通气时间短于对照组,差异有统计学意义(P<0.05);观察组患者肌肉总含量、骨骼肌含量高于对照组,差异有统计学意义(P<0.05);观察组患者ICU获得性衰弱发生率低于对照组,差异有统计学意义(P<0.05);两组压力性损伤发生率比较差异无统计学意义(P>0.05);观察组患者BI评分高于对照组,差异有统计学意义(P<0.05)。结论神经肌肉电刺激联合渐进性运动训练可提高脓毒症合并急性肾损伤患者肌肉总含量和骨骼肌含量,降低ICU获得性衰弱发生率,促进临床指标改善,对患者日常生活活动能力提高也有积极作用。
Objective To analyze the application effect of neuromuscular electrical stimulation combined with progressive exercise training in patients with sepsis and acute kidney injury,and to provide reference for the formulation of rehabilitation programs for such patients.Methods A total of 82 patients with sepsis and acute kidney injury admitted to the hospital from June 2019 to October 2022 were selected.According to the principle of balanced and comparable data between groups,the patients were divided into an observation group and a control group,with 41 cases in each group.The control group received routine care and progressive exercise training intervention,while the observation group received neuromuscular electrical stimulation intervention method on the basis of the control group.Both groups were intervened until discharge to compare the ICU stay time,mechanical ventilation time and the incidence of ICU-acquired weakness and pressure injury between the two groups of patients,and compare the total muscle content,skeletal muscle content and Barthel index(BI)of the two groups of patients before intervention and at discharge.Results After intervention,the ICU stay time and mechanical ventilation time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The total muscle content and skeletal muscle content in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of ICU-acquired weakness in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of pressure injury between the two groups(P>0.05).The BI score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Neuromuscular electrical stimulation combined with progressive exercise training can increase the total muscle content and skeletal muscle content in patients with sepsis and acute kidney injury,reduce the incidence of ICU-acquired weakness,promote the improvement of clinical indicators,and also have an effect on improving the positive effects of patients'daily living activities.
作者
钟素萍
章宝云
万晓聚
ZHONG Suping;ZHANG Baoyun;WAN Xiaoju(Jingdezhen Second People's Hospital,Jingdezhen,333000,China)
出处
《护理实践与研究》
2023年第20期3136-3141,共6页
Nursing Practice and Research
关键词
脓毒症
急性肾损伤
神经肌肉电刺激
渐进性运动训练
日常生活活动能力
Sepsis
Acute kidney injury
Neuromuscular electrical stimulation
Progressive exercise training
Activities of daily living
