Deng Huan, Chen Jian, Li Frank, Li-Tsang Cecilia W P, Liu Qiushi, Ma Xiaohong, Ao Ming, Chen Nan, Zhou Yaqin, Zhong Xiaoyun, Chen Zhiyu, Cao Lei, He Guiyang, Wu Jun
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Burns. 2016 Nov;42(7):1404-1412. doi: 10.1016/j.burns.2016.07.029. Epub 2016 Aug 29.
To assess the effects of mobility training on severe burn patients in the Burn Intensive Care Unit (BICU).
This was a retrospective cohort study. Severe burn patients with equal to or more than 50% Total Body Surface Area (TBSA) burns who received early rehabilitation in the BICU were included in this study. Based on the different early rehabilitation strategies during the two periods, patients admitted to the BICU from January 2011 to April 2013 were identified as the passive training cohort (n=49) while patients admitted to the BICU from May 2013 to December 2013 were identified as the mobility training cohort (n=24). Data on length of BICU stay, length of hospital stay, length of rehabilitation in the BICU, ventilator dependent days, strict bed rest time, range of motion (ROM), the Barthel Index (BI) and the Functional Independence Measure (FIM) were collected.
Compared with the passive training cohort, patients in the mobility training cohort had significantly shorter length of BICU stay (p=0.002), length of hospital stay (p=0.010), strict bed rest time (p<0.001) and length of rehabilitation in the BICU (p=0.026) with improved ROM of shoulder, wrist, hip, knee and ankle joints.
Mobility training in the BICU was shown to be feasible and effective in achieving better outcomes than passive training for severe burn patients.
评估在烧伤重症监护病房（BICU）中进行活动训练对重度烧伤患者的影响。
这是一项回顾性队列研究。本研究纳入了在BICU接受早期康复治疗、烧伤总面积（TBSA）达50%及以上的重度烧伤患者。根据两个时期不同的早期康复策略，将2011年1月至2013年4月入住BICU的患者确定为被动训练队列（n = 49），而将2013年5月至2013年12月入住BICU的患者确定为活动训练队列（n = 24）。收集了BICU住院时间、住院总时长、在BICU的康复时长、呼吸机依赖天数、严格卧床时间、关节活动范围（ROM）、巴氏指数（BI）和功能独立性测量（FIM）的数据。
与被动训练队列相比，活动训练队列的患者在BICU的住院时间（p = 0.002）、住院总时长（p = 0.010）、严格卧床时间（p < 0.001）和在BICU的康复时长（p = 0.026）显著缩短，且肩、腕、髋、膝和踝关节的ROM得到改善。
研究表明，在BICU中进行活动训练对重度烧伤患者是可行且有效的，比被动训练能取得更好的效果。
