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市中心医院成功完成首例 高龄重症患者脱机康复治疗
2017-09-07 05:56:50 中国青年网
长春晚报记者 于慧
重症患者在救治过程中,为了维持生命体征平稳,利用呼吸机辅助呼吸不可避免,如此一来,不仅患者自身难受不已,家人也万分担心,为了降低患者的死亡率和致残率,缩短患者在ICU的住院时间,减轻患者的经济负担,帮助患者自助呼吸就成了大事儿。近日,长春市中心医院就完成首例高龄重症患者高度依赖呼吸机的脱机康复治疗,这标志着医院在康复治疗技术方面迈上一个新台阶,跻身省内该领域的先进行列。 “经过康复治疗,患者终于摆脱了呼吸机,不仅提高的自己的生活价值,也让家长紧张的心情轻松许多。”6日下午,提起自己正在进行康复治疗的一名患者,该院康复医学科主任蔺勇说。
记者了解到,蔺勇主任提到的患者已经73岁,不久前,这名男性患者因呼吸道感染并出现呼吸衰竭住进ICU。由于患者下肢骨折,还患有慢性阻塞性肺部疾病、帕金森氏病,病情一度十分危险。经过ICU医护人员10多天的救治,患者的病情逐步趋于稳定。然而,普通人看似很平常的自主呼吸在这名老年患者身上却是件难事儿。为了维持生命体征,老人只能依赖呼吸机。 为了给患者自身带来新的希望,该院康复医学科利用精准的重症康复治疗技术、ICU提供专业的重症监护保障开始帮助患者摆脱长期的呼吸机依赖,尝试恢复自主呼吸。ICU李刚主任与康复医学科蔺勇主任决定两个科室合作,共同为患者进行呼吸机脱机训练。 治疗开始后,治疗团队之间针对患者并发症多,年龄大、肌弹力弱等特点,制定详细科学的康复治疗方案。在治疗过程中,康复医学科主任蔺勇及治疗师赵晓欢不分节假日,每天定时为患者进行康复训练。训练内容包括缩唇呼吸训练,核心肌群训练,腹式呼吸训练,扩胸训练等现代康复治疗技术。
两位医生在给病人进行康复训练的同时,还对患者进行心理疏导,不断鼓励他积极完成训练。如今,患者已经成功脱机,利用眼神也能跟医生进行简单的交流。 记者了解到,该病例的成功,对重症康复具有划时代意义,以往危重患者需转出ICU后才开始进行康复治疗,但近期国内外研究表明,重症康复在患者生命体征平稳后即可早期实施,无需等到撤除呼吸机或转出ICU后才开始。利用早期重症康复应与疾病治疗同时进行,不仅降低患者的死亡率和致残率,还缩短患者在ICU的住院时间,减轻患者的经济负担。
此次治疗的成功,是该院首次开展对重症患者进行呼吸机脱机康复,填补了医院在这一领域的空白,也是该院首例由康复医学科与重症医学科(ICU)合作的重症康复病例。
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