Simonis Gregor, Flemming Kerstin, Ziegs Enrico, Haacke Katrin, Rauwolf Thomas, Strasser Ruth H
Department of Medicine/Cardiology, Heart Center, Dresden University of Technology, Fetscherstr. 76, 01307 Dresden, Germany.
Eur J Cardiovasc Nurs. 2007 Mar;6(1):40-5. doi: 10.1016/j.ejcnurse.2006.03.008. Epub 2006 May 15.
Kinetic therapy (KT) has been shown to reduce complications and to shorten hospital stay in trauma patients. Data in non-surgical patients are inconclusive, and kinetic therapy has not been tested in patients with cardiogenic shock.
The present analysis compares KT with standard care in patients with cardiogenic shock.
A retrospective analysis of 133 patients with cardiogenic shock admitted to 1 academic heart center was performed. Patients with standard care (SC, turning every 2 h by the staff) were compared with kinetic therapy (KT, using oscillating air-flotation beds).
68 patients with KT were compared with 65 patients with SC. Length of ventilator therapy was 11 days in KT and 18 days in SC (p=0.048). The mortality was comparable in both groups. Pneumonia occurred in 14 patients in KT and 39 patients in SC (p<0.001); pressure ulcers were reduced by 50% (p<0.001). Length of ICU stay (21 days in SC and 13 days in KT, p=0.009) and length of hospital stay were reduced in the patients treated with kinetic therapy.
The use of KT shortens hospital stay and reduces rates of pneumonia and pressure ulcers as compared to SC.
动态治疗（KT）已被证明可减少创伤患者的并发症并缩短住院时间。非手术患者的数据尚无定论，且动态治疗尚未在心源休克患者中进行测试。
本分析比较了心源休克患者中KT与标准治疗的效果。
对一所学术性心脏中心收治的133例心源休克患者进行回顾性分析。将接受标准护理（SC，由医护人员每2小时翻身一次）的患者与接受动态治疗（KT，使用振荡气浮床）的患者进行比较。
68例接受KT治疗的患者与65例接受SC治疗的患者进行比较。KT组机械通气治疗时间为11天，SC组为18天（p = 0.048）。两组死亡率相当。KT组14例患者发生肺炎，SC组39例患者发生肺炎（p<0.001）；压疮发生率降低50%（p<0.001）。接受动态治疗的患者重症监护病房住院时间缩短（SC组21天，KT组13天，p = 0.009），住院时间也缩短。
与标准护理相比，使用动态治疗可缩短住院时间，并降低肺炎和压疮发生率。
