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Abstract

Rehabilitation Therapy for Better Control of Critically Ill Patients

Author(s): FENG XUE1, WENJING LU2, CUICUI ZHANG3, JUN ZHANG3, JING YUAN4, BIN REN3 AND QIANFENG HE3*
1Medical Department, 2Cardiovascular Medicine Department, 3Emergency Department, Tangdu Hospital, Air Force Military Medical University, Xi'an, Shaanxi 710038, China 4Department of Orthopedics, Armed Police Engineering University Hospital, Xi'an, Shaanxi 710086, China

Correspondence Address:
Emergency Department, Tangdu Hospital, Air Force Military Medical University, Xi'an, Shaanxi 710038, China, E-mail: [email protected]

To explore the value of early rehabilitation therapy in critically ill patients managed on routine treatment, 80 critically ill patients in ICU were randomly divided into the rehabilitation group and the routine treatment group. Each group consisted of 40 patients. All patients were placed in a recumbent and good limb position. They were turned over and their back was patted every 2 h. According to the patients' condition, they were given symptomatic support treatment such as antiinflammatory agents. Rehabilitation treatment group patients also receive early rehabilitation intervention by a professional rehabilitation team. The results of the ICU hospitalization time and mechanical ventilation time of the two groups, when analyzed, it was found that rehabilitation therapy significantly shortened the ICU hospitalization time and mechanical ventilation time of the patients with significant different. The BI index of the rehabilitation treatment group and the conventional treatment group is significantly increased on the 28th day after treatment, and the rehabilitation treatment group is better than the conventional treatment group. The APACHE II scores of patients in rehabilitation group and routine treatment group are significantly lower than those before treatment (P<0.05). Relevant conclusions were drawn that early rehabilitation by professional rehabilitation team can significantly reduce the duration of mechanical ventilation and ICU hospitalization in critically ill patients. Early rehabilitation treatment did not increase the 28-day mortality rate and the incidence of adverse events, but improved the basic living ability of critically ill patients.

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