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早期持续康复训练在重症监护病房肝移植术后患者中的应用效果

Effect of early continuous rehabilitation exercise on function in patients after liver transplantation in Liver Intensive Care Unit

  • 摘要:
    目的  探讨早期持续康复训练对肝外科重症监护病房(Liver Intensive Care Unit,LICU)肝移植术后患者康复的作用。
    方法  收集2017年3月至2018年1月在复旦大学中山医院行同种异体原位肝移植术后入住LICU患者43例,分为两组,对照组接受7 d康复训练(n=15),试验组接受持续14 d康复训练(n=28)。康复训练包括包括下肢肌力及平衡功能训练。采用下肢徒手肌力评定(MMT)量表、Berg平衡量表及焦虑自评量表(SAS)评定训练效果。两组患者均在第1次康复训练之前进行首次康复评定;对照组在康复训练后第7天进行第2次评定,试验组则在康复训练后第14天进行第2次评定。
    结果  试验组患者下肢肌力、平衡功能及焦虑改善情况总体效果优于对照组(P < 0.05)。
    结论  在LICU早期持续康复训练能提高肝移植术后患者下肢肌力及平衡功能,并改善其焦虑状态。

     

    Abstract:
    Objective  To study the effct of early rehabilitation exersice on function in patients after liver transplantation in the Liver Intensive Care Unit (LICU).
    Methods  Forty-three patients after liver transplantation in Zhongshan Hospital, Fudan University from March 2017 to January 2018 were selected and divided into the two groups. Patients in the control group underwent exercise for 7 d, and patients in the experiment group underwent exercise for 14 d. The rehabilitation exersice included lower limb muscle strength and balance training. The effects were evaluated by using manual muscle test (MMT), Berg, and self-rating anxiety scale (SAS) berfore exersice, and 7 d and 14 d after exersice in the control and experiment groups, respectively.
    Results  The overall improvement of muscle strength, balance, and anxious were better in the experiment group than that in the control group (P < 0.05).
    Conclusions  Early continuous rehabilitation exersice could improve the muscle strength, balance, and anxious in patients after liver transplantation in LICU.

     

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