Early respiratory rehabilitation for critically ill children with mechanical ventilation

中国小儿急救医学 Pub Date : 2020-02-20 DOI:10.3760/CMA.J.ISSN.1673-4912.2020.02.008

Sujuan Wang, Hao Zhou, Weiming Chen, G. Lu

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引用次数: 1

Abstract

Objective To develop the early respiratory rehabilitation techniques in pediatric intensive care unit(PICU) for children with mechanical ventilation. Methods A respiratory rehabilitation team was established, and early respiratory rehabilitation intervention methods for critically ill children were also developed.Early bedside rehabilitation were implemented after the vital signs of mechanical ventilation children were stable for 24 hours, and the rehabilitation effect and adverse events were observed. Results According to the patient′s condition, 23 patients in PICU received early respiratory rehabilitation after incubations, including 10 males and 13 females, aged 57.0(17.5, 91.5) months.There was no adverse event in 729 rehabilitation practices.The average consulting time was 8.0(4.0, 18.0) days after incubations.The average incubation time was 693.5(345.2, 1 027.1)hours of all the patients.As to 16 patients who were weaned before charged out, the average incubation time was 566.2(243.4, 928.7)hours, and the average incubation time from respiratory rehabilitation performance to weaning was 168.0(6.0, 564.0) hours.In 19 patients who only received limbs massage and passive movements, the average incubation time was 381.7(309.6, 541.4) hours and the average incubation time from respiratory rehabilitation performance to weaning was 187.2(81.5, 382.9) hours.However the difference between these who received respiratory rehabilitation and only received limbs massage and passive movements was not statistically significant. Conclusion It′s safe and feasible to perform the early respiratory rehabilitation in PICU for critically ill children with mechanical ventilation. Key words: Respiratory rehabilitation; Critically ill; Mechanical ventilation; Pediatric intensive care unit

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危重儿童机械通气早期呼吸康复

目的探讨儿童机械通气重症监护室早期呼吸康复技术。方法建立呼吸康复小组，制定危重儿童早期呼吸康复干预方法。机械通气患儿生命体征稳定24小时后实施早期床边康复，观察康复效果及不良事件。结果根据患者的病情，PICU有23例患者在孵化后接受了早期呼吸康复治疗，其中男性10例，女性13例，年龄分别为57.0（17.5，91.5）个月。729例康复治疗中未发生不良事件。孵化后的平均咨询时间为8.0（4.0，18.0）天。所有患者的平均潜伏期为693.5（345.2，1027.1）小时。16名在出院前断奶的患者，平均潜伏期为566.2（243.4928.7）小时，从呼吸康复表现到断奶的平均潜伏期为168.0（6.0564.0）小时。在19名仅接受四肢按摩和被动运动的患者中，平均潜伏期为381.7（309.6541.4）小时，从呼吸康复表现到断奶的平均潜伏期为187.2（81.5382.9）小时。然而，接受呼吸康复和仅接受四肢按摩和被动运动的患者之间的差异没有统计学意义。结论在PICU对危重患儿进行机械通气早期呼吸康复是安全可行的。关键词：呼吸康复；病危；机械通风；儿科重症监护室

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来源期刊

中国小儿急救医学

自引率

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发文量

6226

期刊介绍： Chinese Journal of Neurology was established in 1955, the predecessor of which is Chinese Journal of Neurology and Psychiatry. Chinese Journal of Neurology and Psychiatry has been indexed by MEDLINE until 1996, when it was divided into two journals, Chinese Journal of Neurology, and Chinese Journal of Psychiatry. Chinese Journal of Neurology is now indexed by EM, SCOPUS, AJ, WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 2.755 in 2017, ranking the first among all neurological and psychological journals in China and among all the 142 medical journals published by the Chinese Medical Association. The journal is available both in print and online.