多学科协作, 机械通气, ICU获得性衰弱, 早期活动

Objective: To investigate the effect of multi-disciplinary team(MDT) for early exercise on the prevention of ICU-acquired weakness(ICU-AW) in patients with mechanical ventilation.Methods: 100 cases were randomly divided into control group (n=50) and experimental group (n=50). All the patients did early four steps exercise scheme according to the international accepted mechanical ventilation standards, the cases in control group adopted the traditional medical mode of cooperation; while the patients in experimental group accepted the multidisciplinary collaboration. The related indexes of the two groups were compared after interventions finally. Results: The time of getting out of bed, the mechanical ventilation time and ICU staying time were shorten in experimental group, than those in control group; the rehabilitation effect was superior(P<0.05); Besides, the incidences of various complications such as ICU-AW, VAP and delirium were lower than that of the control group (P<0.05). Conclusion: MDT can ensure the effective implementation of early exercise in patients with mechanical ventilation, promote the rehabilitation of patients, reduce the incidence of various complications, meanwhile it is worthy of promotion and application in clinic.

Multi-disciplinary team, Mechanical ventilation, ICU-acquired weakness (ICU-AW), Early exercise