Genc Arzu, Ozyurek Seher, Koca Ugur, Gunerli Ali
School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Cardiopulm Phys Ther J. 2012 Mar;23(1):14-8.
The aim of this study was to investigate the effects of mobilization on respiratory and hemodynamic parameters in critically ill obese patients.
Critically ill obese patients (n = 31) were included in this retrospective study. Data were collected from patients' files and physiotherapy records of mobilization sessions. Heart rate (HR), systolic/diastolic/mean blood pressure, respiratory rate (RR), and percutaneous oxygen saturation (SpO(2)) were recorded. Cardiorespiratory parameters were collected just prior to the mobilization, just after the completion of the mobilization and after 5 minutes recovery period. Respiratory reserve was calculated before and after the mobilization.
A total of 37 mobilization sessions in 31 obese patients (mean age: 63.3 years, mean BMI: 32.2 kg/m(2)) who received physiotherapy were analyzed. Respiratory rate increased significantly after the completion of the mobilization compared to initial values (p < 0.05). SpO(2) significantly increased (p < 0.05) and all other parameters remained similar (p > 0.05) compared to initial values after the recovery period. Mobilization resulted in a significant increase in respiratory reserve (p < 0.05).
Early mobilization in intensive care unit promotes respiratory reserve in obese patients. We found that mobilization can be performed safely in critically ill obese patients if cardiorespiratory parameters are continuously monitored.
本研究旨在探讨活动对危重症肥胖患者呼吸和血流动力学参数的影响。
本回顾性研究纳入了31例危重症肥胖患者。数据从患者病历和活动治疗记录中收集。记录心率（HR）、收缩压/舒张压/平均血压、呼吸频率（RR）和经皮血氧饱和度（SpO₂）。在活动前、活动结束后以及5分钟恢复期后收集心肺参数。计算活动前后的呼吸储备。
分析了31例接受物理治疗的肥胖患者（平均年龄：63.3岁，平均BMI：32.2kg/m²）的37次活动治疗。与初始值相比，活动结束后呼吸频率显著增加（p<0.05）。恢复期后，SpO₂显著增加（p<0.05），所有其他参数与初始值相比保持相似（p>0.05）。活动导致呼吸储备显著增加（p<0.05）。
重症监护病房中的早期活动可促进肥胖患者的呼吸储备。我们发现，如果持续监测心肺参数，在危重症肥胖患者中进行活动是安全的。
