The role and effect evaluation of early mobilization on the recovery process of critically ill patients in ICU
早期活动对ICU重症患者康复进程的作用及效果评价

摘要

目的 探讨早期活动对ICU重症患者康复进程的作用及效果。方法 本研究选取2023年5月至2024年5月期间我院ICU收治的80例重症患者，随机分为对照组和观察组，每组各40例。对照组接受常规ICU护理，观察组在此基础上增加科学、分阶段的早期康复活动指导。比较两组机械通气时间、ICU住院时间及并发症发生率。结果 早期活动组的机械通气时间（12.35±3.48天）显著短于常规组（15.87±4.02天），P<0.001；ICU住院时间（16.24±4.59天）也显著短于常规组（20.67±5.14天），P<0.001。此外，早期活动组的并发症发生率（10.00%）显著低于常规组（27.50%），P<0.05。结论 早期康复活动能够显著缩短ICU重症患者的机械通气时间和住院时间，减少呼吸机相关性肺炎及肌肉萎缩等并发症的发生，具有较高的临床推广价值。

Abstract

Objective To explore the role and effect of early activity on the rehabilitation process of critically ill patients in ICU.
Methods This study selected 80 severely ill patients admitted to the ICU of our hospital from May 2023 to May 2024, and randomly divided them into a control group and an observation group, with 40 cases in each group. The control group received routine ICU care, and the observation group received scientific and staged early rehabilitation activity guidance on this basis. The mechanical ventilation time, ICU hospitalization time and complication rate were compared between the two groups.
Results The mechanical ventilation time of the early activity group (12.35±3.48 days) was significantly shorter than that of the conventional group (15.87±4.02 days), P<0.001; the ICU hospitalization time (16.24±4.59 days) was also significantly shorter than that of the conventional group (20.67±4.02 days). 5.14 days), P<0.001. In addition, the complication rate of the early mobilization group (10.00%) was significantly lower than that of the conventional group (27.50%), P<0.05.
Conclusion   Early rehabilitation activities can significantly shorten the mechanical ventilation time and hospitalization time of critically ill ICU patients, reduce the occurrence of complications such as ventilator-associated pneumonia and muscle atrophy, and have high clinical promotion value.