Study on early activity disorder and its influencing factors in ICU patients with mechanical ventilation
ICU机械通气患者早期活动障碍及其影响因素研究

摘要

目的 探究ICU机械通气患者早期活动障碍及其影响因素。方法 选取我院收治的ICU机械通气患者80例，将其中早期活动有障碍的患者设为观察组（n=50），而早期活动无障碍的患者设为对照组（n=30）。对其各项临床资料进行研究，找出其早期活动障碍的影响因素。结果 使用单因素分析后发现，机械通气时间≤7d、ICU住院时间≤7d、使用血管活性药物≥7d、昏迷程度、肌力≤4级均是ICU机械通气患者早期活动障碍的影响因素。（P＜0.05）结论 ICU机械通气患者早期活动障碍因素较多，应通过适当增加机械通气时间与ICU住院时间、维持血管活性、减轻昏迷程度、增强肌力等达到早期活动的目的。

Abstract

Objective: To explore the early activity disorder and its influencing factors of patients with mechanical ventilation in ICU.
Methods: 80 patients with mechanical ventilation in ICU in our hospital were selected. The patients with early activity disorder were set as the observation group (n = 50), and the patients with early activity disorder were set as the control group (n = 30). The clinical data of the two groups of patients were studied to find out the influencing factors of early activity disorder in ICU patients with mechanical ventilation.
Results: univariate analysis showed that mechanical ventilation time ≤ 7d, ICU hospitalization time ≤ 7d, use of vasoactive drugs ≥ 7d, coma degree and muscle strength ≤ 4 grade were all the influencing factors of early activity disorder in ICU patients with mechanical ventilation. (P < 0.05)
Conclusion  : there are many factors that hinder the early activities of patients with mechanical ventilation in ICU. The purpose of early activities should be achieved by appropriately increasing the time of mechanical ventilation and ICU stay, maintaining vascular activity, reducing the degree of coma and enhancing muscle strength.