ICU连续性肾脏替代治疗患者早期活动对安全性的影响

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Abstract Objective To investigate the effect of early mobilities on the safety in ICU patients with continuous renal replacement therapy (CRRT). Methods Eighteen patients with CRRT were randomly divided into experimental group (n=9) and control group (n=9) by computer random number table method. The control group was given routine treatment and nursing, while the experimental group performed active and passive range of motion during CRRT on-machine.The CRRT pressure parameters (arterial pressure PA, venous pressure PV, prefiltration pressure PBE, and Transmembrane pressure TMP) and vital signs (blood pressure BP, heart rate HR, respiratory rate RR, blood oxygen saturation SpO₂) were compared before (0 min), during (15 min) and after (30 min) the mobility, and the occurrence of adverse events in the two groups were also compared. Results All the patients completed the study, and the experimental group completed 41 times of early mobilities, while the control group were recorded 36 times. There was no significant difference in CRRT pressure parameters between the two groups at different time points (0, 15, 30 min) (P>0.05). There was statistically significant difference in PA at 30 min[(-80.41±31.91)mmHg] and at 0 min[(-76.54±33.59)mmHg] in the experimental group (P=0.005); PV at 15 min [(57.05±20.99)mmHg] and at 0 min[(54.80±22.82)mmHg], the difference was statistically significant (P=0.024); the PV at 30 min [(59.85±21.73)mmHg] was significantly different from that at 0 min (P=0.000). There was statistically significant difference between TMP at 30 min[(84.39±25.80)mmHg] and TMP at 0 min[(80.78±27.69)mmHg] (P=0.036). There was no significant difference in vital signs between the two groups at different time points (0, 15, 30 min), and there was no significant difference between different time points and 0 min. There was no significant difference in adverse events between the two groups. Conclusion It is safe to carry out early mobilities in ICU patients with c CRRT.

Key words： ICU continuous renal replacement therapy early mobility safety

Received: 28 January 2022

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	Articles by authors
	ZHAO Hongyu
	TANG Sheng
	MA Yanlan
	LUO Sha
	LI Lina
	CAO Yurui
	YANG Ning

Cite this article:

ZHAO Hongyu,TANG Sheng,MA Yanlan等. Effect of early mobilities on safety in ICU patients with continuous renal replacement therapy[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(5): 399-403.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I5/399

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