和建冰　谢伟魅　代亚娟

518110　深圳市　广东省深圳市龙华新区中心医院



卧床运动治疗器对外科危重患者肢体功能锻炼的影响

和建冰谢伟魅代亚娟

518110深圳市广东省深圳市龙华新区中心医院

摘要目的：探讨运用卧床运动治疗器对外科危重患者肢体功能锻炼的影响效果。方法：将2010年9月～2012年9月本院由护士协助进行的被动肢体锻炼方式的外科重症患者102例设为对照组；将2012年10月～2014年10月本院应用卧床运动治疗器进行肢体功能锻炼的外科重症患者112例为观察组，分别记录两组者锻炼前、锻炼7 d与锻炼15 d两组患者的机体组成成分、营养及免疫指标情况、首次下床时间、机械通气时间、住院时间等情况，对两组患者首次下床时间、机械通气时间、住院时间等进行比较。结果：两组患者机体组成成分、营养情况、免疫指标比较具有统计学意义(P<0.05)。两组患者在首次下床时间、机械通气时间、住院时间等方面比较具有统计学意义，(P<0.05)。结论：运用卧床运动治疗器对患者进肢体功能锻炼操作简单，实施方便，且有利于患者的康复，值得推广。

关键词卧床运动治疗器；外科危重患者；功能锻炼

doi:10.3969/j.issn.1672-9676.2016.02.002

The effects of lying in bed sports apparatus on the limb function exercise of critical patients

HE Jian-bing,XIE Wei-mei,DAI Ya-juan(Longhua New District Central Hospital ofShenzhen city，Shenzhen518110)

AbstractObjective:To explore the effects of lying in bed sports apparatus on the limb function exercise of critical patients.Methods:Take 102 critical patients who have passive limb function exercise assisted by nurses between Sep.2010 and Sep.2012 as the control group and take 112 patients who have limb function exercise by lying in bed sports apparatus as observation group and record the organization composition , nutrition index, immunity index, first walking time, mechanical ventilation time, hospital stays at three different times of both groups, before exercise, 7 days after exercise, 15 days after exercise. Then compare the first walking time, mechanical ventilation time, hospital stays of both groups.Results:The comparison of organization composition, nutrition index and immunity index, of both groups has statistic meaning(P<0.05).The comparison of first walking time, mechanical ventilation time, hospital stays of both groups has statistic meaning(P<0.05).Conclusion:Lying in bed sports apparatus for the limb function exercise of patients is simple and easy to operate. Besides, it is beneficial for the recovery of patients, which should be applied.

Key wordsSickbed movement therapeutic apparatus;Surgical critical patients;Functional exercise

外科危重患者由于长时间卧床可导致肌肉功能障碍、免疫功能下降，延长呼吸机使用时间和住院时间等，有研究证实对长期卧床的外科危重患者进行早期运动有利于患者的康复[1]，国内主要是依靠护理人员指导及协调患者进行床上被动运动[2]，在国外设有专业的物理治疗师应用卧床治疗器指导患者进行早期功能锻炼[3]。我科收治的患者均为危重患者，由于疾病因素，其活动范围常被限制在床上，为更好地帮助患者恢复，早期进行功能锻炼，我院引进了卧床运动治疗器，患者可以在不脱离呼吸机及各种导管的基础上进行功能锻炼，取得了较好的效果，现报道如下。……