Prevention effect of early rehabilitation based on multidisciplinary cooperation on ICU-acquired weakness in elderly AECOPD patients complicated with respiration failure
ZHANG Xia HOU Fang SU Li ZHANG Li▲
Department of Critical Care Medicine, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China
Abstract:Objective To investigate the prevention effect of early rehabilitation based on multidisciplinary cooperation on ICU-acquired weakness (ICU-AW) in elderly acute exacerbation of chronic obstructive pulmonary disease (AECOPD) patients complicated with respiration failure. Methods From January 2017 to April 2019 , 80 cases with elderly AECOPD patients complicated with respiration failure in Department of Critical Care Medicine of the First Affiliated Hospital of Xinjiang Medical University were selected as observational objects. According to the random number table method, they were divided into the control group and the observation group, with 40 cases in each group. The control group was intervened with conventional mode of early rehabilitation, while the observation group was intervened with early rehabilitation based on multidisciplinary cooperation. Muscular strength was assessed by medical research council (MRC) score. Days on ventilator, ICU treatment, the hospitalization, incidences of ICU-AW, MRC score, activity of daily living (ADL) scores and occurrence of complications were compared in two groups. Results Days on ventilator, ICU treatment and the hospitalization of the observation group were lower than those of the control group, incidences of ICU-AW were lower than those of the control group, MRC score and ADL score after intervention of the observation group were higher than those of the control group and the incidence of complications were reduced, the differences were statistically significant (all P < 0.05). Conclusion Early rehabilitation based on multidisciplinary cooperation can effectively prevent incidence of ICU-AW in elderly AECOPD patients complicated with respiration failure. It can shorten time of mechanical ventilation, ICU treatment, improve activity of daily living and reduce incidence of complications, which is worthy of clinical application.
张霞 侯芳 苏丽 张莉▲. 多学科合作早期康复干预对老年慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者ICU获得性衰弱的预防效果[J]. 中国医药导报, 2019, 16(32): 123-126.
ZHANG Xia HOU Fang SU Li ZHANG Li▲. Prevention effect of early rehabilitation based on multidisciplinary cooperation on ICU-acquired weakness in elderly AECOPD patients complicated with respiration failure. 中国医药导报, 2019, 16(32): 123-126.