不同物理治疗方案对重症监护病房患儿的疗效：一项随机临床试验。
Effectiveness of Different Physiotherapy Protocols in Children in the Intensive Care Unit: A Randomized Clinical Trial.
机构信息
Federal University of São Paulo (Mss Souza and Novais), São Paulo, Brazil; Santa Casa de Misericórdia Foundation of Pará (Ms Lemes and Drs de Mello and de Sales), Belém, Brazil; Universidade do Estado do Pará (Dr Cunha), Marabá, Brazil; Universitary Center of Pará (Dr de Oliveira Rocha), Belém, Brazil; Universidade Federal do Pará (Dr Avila), Belém, Brazil; Department of Human Movement Sciences (Dr Rocha), State University of Pará (UEPA), Belém, Brazil.
出版信息
Pediatr Phys Ther. 2022 Jan 1;34(1):10-15. doi: 10.1097/PEP.0000000000000848.
PURPOSE
This study aimed to investigate the effectiveness of different physical therapy protocols on the autonomic modulation of heart rate, time of invasive mechanical ventilation (IMV), and length of hospital stay.
METHODS
This was a randomized clinical study with 20 children on IMV in an intensive care unit (ICU), between July 2018 and September 2019. The control group (n = 10) performed the hospital's physical therapy protocol and the experimental group (n = 10) performed the physical therapy protocol based on physical exercise.
RESULTS
Higher values of heart rate variability were found in the experimental group, both in individual and intergroup analyses. There was a significant reduction in the time of IMV and ICU stay.
CONCLUSION
There was an improvement in heart rate variability, reduced time on mechanical ventilation and length of stay in the ICU in individuals who performed the study protocol.
目的
本研究旨在探讨不同物理治疗方案对心率自主调节、有创机械通气（IMV）时间和住院时间的影响。
方法
这是一项于 2018 年 7 月至 2019 年 9 月在重症监护病房（ICU）接受 IMV 的 20 名儿童参与的随机临床研究。对照组（n=10）接受医院的物理治疗方案，实验组（n=10）接受基于体育锻炼的物理治疗方案。
结果
实验组的心率变异性值较高，个体和组间分析均如此。IMV 和 ICU 停留时间均显著减少。
结论
进行研究方案的个体的心率变异性改善，机械通气时间和 ICU 住院时间减少。
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