在接受心脏外科手术的患者中,早期动员的安全性和可行性,使用subxiphoid排水管
Natascha Conceição Carneiro da Silva1, Geovanna Lima Almeida1, Heloisa Oliveira da Silva Pimenta1
1Centro Universitário Nobre, Feira de Santana, Bahia, Brazil.
Journal of bodywork and movement therapies
|May 19, 2024
概括
心脏手术后的早期动员是 subxiphoid 下水道患者的安全和可行的. 这种方法有助于预防与重症监护室 (ICU) 中不运动相关的并发症.
科学领域:
- 心脏病学 心脏病学
- 密集护理医学 密集护理医学
- 物理疗法物理治疗
背景情况:
- 在重症监护室 (ICU) 进行心脏手术后的不运动会导致不良的临床和功能性改变.
- 早期动员对于预防这些并发症至关重要.
- 然而,在外科手术后立即使用子管排水是某些机构早期动员的障碍.
研究的目的:
- 评估心脏手术后早期患者动员的安全性和可行性,同时使用亚管排水.
主要方法:
- 一项前性队列研究,涉及176名接受心脏手术的患者.
- 动员方案包括在床上定位,坐到静止,步态训练,在术后第一天坐在扶手椅上,在第二天进入ICU走路.
- 患者被监测不良事件,如排水阻塞,意外移除,以及各种心血管和呼吸道并发症.
主要成果:
- 在176名患者中,只有2名 (0.4%) 在动员过程中出现并发症.
- 一个并发症是排水阻塞 (0.2%),另一个是意外的排水移除或位移 (0.2%).
- 没有报告与动员相关的其他重大不良事件.
结论:
- 心脏手术后患者的早期动员,即使有了下管排水,也是一个安全和可行的做法.
- 这种方法可以减轻在ICU环境中长时间不动所带来的风险.
- 实施早期动员方案可以改善心脏手术后的患者结果.
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