物理治疗引起的急性血液动力学变化在重症患者:一个前性观察性研究
K J Priyanka1, Dipali A Taggarsi1, Bhuvana Krishna1
1Department of Critical Care Medicine, St John's Medical College Hospital, Bengaluru, Karnataka, India.
概括
物理治疗对重症患者来说是安全的,即使是那些在血管压缩器上的人. 治疗期间的轻微血液动力学变化没有临床意义,表明耐受性良好和不良事件发生率低.
科学领域:
- 关键护理医学 关键护理医学
- 物理治疗是物理治疗.
- 血液动力学 血液动力学
背景情况:
- 物理治疗对重症患者提供了显著的好处.
- 关于物理治疗对血液动力学变化的安全性存在有限的数据,特别是在使用血管压缩剂时.
研究的目的:
- 评估物理治疗对重症患者的安全性和血液动力学影响.
- 为了确定血管压缩剂支持的水平,在这个水平上可以安全地进行物理治疗.
主要方法:
- 107名危急病患者接受了物理治疗 (主动或被动).
- 在物理治疗前,期间和之后监测血液动力学参数 (心脏输出,血压,心率,SpO2).
- 记录了一些不良事件.
主要成果:
- 在物理治疗后观察到心率,呼吸率,血压和心脏输出量的短暂,统计学上显著的增加.
- 这些血液动力学变化在临床上被认为是微不足道的.
- 副作用的发生率很低,为10.2%.
结论:
- 物理治疗在重症患者,包括需要血管压缩剂的患者中耐受良好.
- 观察到的血液动力学波动可能是对氧气需求增加的生理反应.
- 低的不良事件率证实了重症监护室 (ICU) 物理治疗的安全性.
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