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在72小时内首次不能动员到重症监护室的病人,脑部区域氧和度较低

Ryota Imai¹, Atsuhiro Tsubaki², Takafumi Abe¹

¹Department of Rehabilitation, Uonuma Kikan Hospital, Minamiuonuma, Japan.

Advances in experimental medicine and biology

|January 23, 2026

概括

在ICU的早期动员改善了结果. 区域大脑氧和 (rSO2) 监测可能有助于确定患者动员的最佳时间,从而有可能改善恢复.

科学领域:

密集护理医学密集护理医学
神经科学是一个神经科学.
医疗技术医疗技术医学技术

背景情况:

在ICU入院后72小时内早期动员与更好的患者结果有关.
通过近红外光谱学 (NIRS) 测量区域大脑氧和 (rSO2),越来越多地被认为具有预测价值.

研究的目的:

根据患者在ICU调动的时间,调查rSO2值的差异.
评估rSO2是否可以指导重症患者调动的时间.

主要方法:

80名ICU患者被分为早期动员 (EM) 和非早期动员 (非EM) 组.
在动员期间使用NIRS监测了前额前部rSO2.
分析了患者的背景和第一次动员的时间.

主要成果:

在EM和非EM组之间观察到患者背景的显著差异.
最低的rSO2值发生在末端坐着时,与EM组相比 (58.6 ± 4.3%),非EM组的值明显较低 (56.5 ± 4.8%).
在rSO2和第一次动员的几天之间发现了弱负相关性 (r = -0.251,p = 0.025).

结论:

在调动期间的rSO2值在早期调动的患者和后来调动的患者之间有所不同.
在非EM组中较低的rSO2值表明潜在的大脑低 perfusion 或对调动不耐受.
rSO2可以作为优化ICU患者调动时间的有价值标志物.

关键词:

早期动员的早期动员在ICU中,医生会对患者进行治疗.护士们的护士们区域大脑氧和区域大脑氧和康复康复康复康复

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