知识与财富的链接
目的 探讨在脓毒症急性肺损伤患者康复中应用康复床联合神经肌电刺激方案的临床效果。方法 选取南昌大学第一附属医院重症医学科（intensive care unit,ICU）2020年6月至2022年1月收治的79例脓毒症并急性肺损伤患者作为研究对象。采用随机数字表法将患者分为试验组（n=43）和对照组（n=36）。对照组患者给予常规康复治疗干预,试验组患者增加使用康复床和神经肌电刺激,比较两组患者的康复效果。结果 试验组患者的无创机械通气时间、ICU入住时间、住院时间均短于对照组（P<0.05）。试验组患者干预后20d、30d的肌力评定量表评分均高于对照组（P<0.05）。试验组患者干预后30d的改良Barthel指数评分高于对照组（P<0.05）。结论 康复床联合神经肌电刺激康复治疗方案可有效缩短脓毒症急性肺损伤患者的康复进程并提高康复效果。
Objective To explore the clinical effect of the rehabilitation plan of rehabilitation bed combined with neuromyoelectric stimulation in the rehabilitation of patients with sepsis acute lung injury. Methods A total of 79 patients with sepsis and acute lung injury admitted to the intensive care unit (ICU) of the First Affiliated Hospital of Nanchang University from June 2020 to January 2022 were selected as the study subjects. The patients were divided into the trial group (n=43) and the control group (n=36) using a digital randomization table method. The control group was given routine rehabilitation treatment intervention, while the trial group was increased in the use of rehabilitation beds and neuromyoelectric stimulation to compare the rehabilitation effects of the two groups. Results The time of noninvasive mechanical ventilation, ICU stay and hospitalization in the trial group were shorter than those in the control group (P<0.05). The medical research council scores of patients in the trial group were higher than those in the control group on the 20th and 30th day after intervention (P<0.05). The modified Barthel index score of patients in the triall group was higher than that in the control group 30 days after intervention (P<0.05). Conclusion Rehabilitation bed combined with neuromuscular electrical stimulation can effectively shorten the rehabilitation process of patients with septic acute lung injury and improve the rehabilitation effect.
