108斤的她能轻松搬动160斤患者
Female Therapist’s Work-outs are the Key to Effortlessly Carrying her Patients
楚天都市报极目新闻记者 周萍英
通讯员 白菲斐 姚敏 肖清心
翻译：王艳 付兆宇 韩晓龙（湖北大学）
Jimu news reporter: Zhou Pingying
Correspondents: Bai Feifei, Yao Min, Xiao Qingxin
Translators: Wang Yan, Fu Zhaoyu, Han Xiaolong (Hubei University)
步伐矫健，走路带风，个子不高，气场十足。
Ever so quick in her pace, Yang Qianfeng exudes an unmatching aura despite her small stature.
3月16日，在湖北省襄阳市中心医院康复医学科，康复师杨倩沣正一手托住患者的上半身，一手搂着患者的腿，熟练地把一名体重160斤的患者从轮椅搬到了床上。
On March 16th, Yang Qianfeng, a rehabilitation therapist at the rehabilitation department of Xiangyang Central Hospital in Hubei Province, skillfully transferred a patient weighing 80 kilograms from a wheelchair to a hospital bed, supporting the patient’s upper body with one hand and the patient’s legs with the other.
体重108斤的杨倩沣，个子不高，却气场十足，走路带风，步伐矫健，照顾患者时就像“女汉子”，浑身是劲。
Yang Qianfeng, who weighs 54 kilograms, is physically stronger than her smaller stature might suggest. Always agile in her pace, she is energetic and can carry patients around without breaking a sweat.
1997年出生的她，为了当好康复师，自大二开始就撸铁健身，至今已坚持了8个年头。“每周末我还要跑一个半马，练就好身体才能照顾好患者。”杨倩沣说，她爽朗的笑声回荡在病房，也给更多经历重生的患者带来新的希望。
Born in 1997, she has been lifting weights and working out for 8 years straight since her sophomore year in hopes of becoming a good rehabilitation therapist. “I run a half marathon every weekend because I can only provide good care to my patients if I am healthy and fit,” Yang said. Her carefree laughter echoed in the ward, bringing hope to her patients.
帮助卧床患者康复锻炼Assisting a bedridden patient with rehabilitation exercises
每天跳操撸铁训练力量
Strength Training: Aerobics and Lifting Weights Everyday
“142床陈大爷，肺部痰液还多吗？”3月6日一早，杨倩沣就来到襄阳市中心医院东津院区心肺康复病房，开始了一天的工作。她一会儿帮这个患者拍拍背，一会帮那个患者翻个身。
“Mr. Chen, is there still a lot of phlegm in your lungs?” On the morning of March 6th, Yang Qianfeng began her day’s work at the cardiorespiratory rehabilitation ward of Dongjin section of Xiangyang Central Hospital, patting one patient on the back and helping another turn over.
“我是一名心肺物理康复治疗师，通俗说，就是帮重症患者尽快恢复自主呼吸，提升呼吸功能。”杨倩沣告诉极目新闻记者，她每天面对的大多是躺在ICU里意识障碍的重症患者。
“I am a cardio respiratory physiotherapist. Generally, my job involves helping critically ill patients recover voluntary respiration and improve their respiratory functions.” Yang informed the reporter that most of her patients are critically ill with impaired consciousness in ICU.
“来，陈大爷，我帮你，我们在右侧位置躺一会儿。”杨倩沣对陈大爷进行肺部听诊，结合其生命体征的各项数据进行分析后，对他进行了体位引流康复训练。所谓体位引流，就是将患者放置在特定的体位，通过重力的作用，促使肺部分泌物从外周气道移到大气道，从而促进痰液的排出，减轻肺部的炎症。
“Mr. Chen, let me help you. Lie down on your right side for a few minutes.” Yang conducted a lung auscultation on Mr. Chen, and carried out postural drainage rehabilitation training with him after examining his vitals. Postural drainage refers to placing the patient in a specific posture, and aiding the movement of lung secretions from the peripheral airway to the large airway by means of gravity, which in turn facilitates the discharge of phlegm and reduces inflammation in the lungs.
“根据患者肺部炎症的轻重、分泌物的多少和位置的不同，给患者放置的体位也是不同的。”杨倩沣说，她一天要管护15位患者，一般是一天进行一次康复治疗，遇到病情危急复杂的，还要紧急处理好几次。“这些患者大多长时间卧床并处于昏迷状态，要更换体位搬动起来特别累。科室的同事都觉得我力气大，是个‘女汉子’。”
“The posture in which the patient is placed differs depending on the severity of the patient’s pulmonary inflammation, the amount and location of the lung secretions.” Yang said that she has to take care of 15 patients a day, and every patient usually undergoes rehabilitation treatment once a day. When faced with patients in critical condition, multiple rehabilitation treatments are required. “These patients have been bedridden and in a coma for a long time, so it can be very tiring to shift their postures in the hospital bed. My colleagues in the department think I’m ‘superwoman’ because I’m actually pretty strong physically.
一名患者一天至少要更换2个体位，搬动3次，15位患者最少是45次，按一名患者平均120斤计算，每天至少要托重5400斤。听着极目新闻记者的计算，杨倩沣略带腼腆地笑了，之后又自豪地说：“我每天都坚持锻炼，又跳操，又撸铁，还跑‘半马’，就是为了服务好患者。”
For each patient, the posture need to be shifted at least twice and transported at least 5 times a day. 15 of these patients need to be moved at least 45 times, and with each weighing an average of 120 pounds, she lags at least 5,400 pounds of weight every day. Hearing these numbers, Yang smiled shyly and said proudly, “I exercise by doing aerobics and lifting weights everyday, and I also run half marathons. It’s really all for my patients”.
“最累的一天，我站了14个小时。”杨倩沣告诉记者，自己坚持锻炼的动力起源于上大二的一次临床实操训练，“我身高不到160CM，那时体重才100斤，面对一名身高180CM、体重160斤的患者，简直束手无策。”
“The most tiring day was when I stood for 14 hours straight.” Yang told the reporter, adding that she began exercising regularly during her practicals in her sophomore year. “I was less than 160cm tall and weighed only 50 kilograms at that time. I felt completely helpless facing a patient who was 180cm tall and weighed 80 kilograms.”
搬不动患者，如何帮患者做康复？杨倩沣下定决心，每天撸铁并进行核心力量训练。“现在我作平板支撑，10分钟都没问题！”杨倩沣说。
“If I couldn’t move the patient, how could I help them with their rehabilitation and treatment?” Yang decided to start weight lifting and doing core strength training every day. “Now I can hold a plank for 10 minutes easily!” Yang said.
用实例让家属心服口服
Yang earns trust and admiration from patient’s families
临床上，除了面对患者，康复师还要应付各种情绪不好的家属。“再刁钻的难题，我3招都能搞定！”她说。
In the hospital, in addition to caring for patients, rehabilitation therapists also need to comfort their patients’ families. “No problem is too difficult for me!” she said.
杨倩沣回忆，2021年自己刚来医院时，很多患者家属对康复工作不认可，觉得做康复没什么效果。有一天，杨倩沣向一名脑出血后偏瘫的患者徐大爷及家属进行科普宣教时，家属悲观地说，偏瘫了就躺在床上，难道还指望他下地走路？
Yang recalled that when she first arrived at the hospital in 2021, many of the patients’ families underestimated the importance of rehabilitation and found it pointless. Mr. Xu was a patient who had become paralyzed after suffering from a stroke. One day, while Yang suggested Mr. Xu undergo rehabilitation treatment, his family pessimistically said, “He is better off laying in bed, we don’t really expect him to ever walk again in the future.”
“及时康复锻炼，就有可能恢复正常行走！”杨倩沣一边解释，一边灵机一动，要给徐大爷的家属来个现身说法。
“With timely rehabilitation and exercise, it is possible to walk normally!” While Yang explained this to them, she devised a plan to convince Mr. Xu’s family.
她看到徐大爷邻床是一名帕金森患者，目前也是身体僵硬伴行走不稳。“明天，我就可让她下地走起来！”杨倩沣指着这名患者说。
She noticed that next to Xu’s bed was a patient with Parkinson’s disease, who could hardly walk steadily. “By tomorrow, she will be able to walk again with my help!” Yang pointed to the patient.
果真，第二天，在看到帕金森患者下地行走后，徐大爷的家属心服口服，认可了杨倩沣给出的康复锻炼计划。杨倩沣向极目新闻记者解释，帕金森患者在用药后的一个时间段，药效特别明显时配合针灸、按摩等穴位刺激，能达到一瞬间恢复行走的效果，持久坚持康复训练，也是可以慢慢恢复正常行走的。
The next day, after seeing the said patient actually walk, Xu’s family was finally convinced and approved Yang’s rehabilitation plan. Yang explained to the reporter, in the case of the patient with Parkinson’s disease, if shortly after medication the treatment is paired with acupoint stimulation techniques such as acupuncture and massages, it is possible to gain nearly immediate recovery in mobility. By routinely taking rehabilitation training, patients can gradually regain mobility.
如今，经过两年多的康复训练，徐大爷基本恢复了正常的生活，家属对杨倩沣既佩服又感激。
After over two years of rehabilitation training, Mr. Xu has largely resumed a normal life, and his family is both in awe of and grateful for Yang Qianfeng’s efforts.
“我妈妈的肺部感染怎么一点都没有好转，而且每天痰液还是那么多！”“我妈妈可是我最重要的人，要是出了问题，我一定来找你！”去年年底，一名30多岁的女子冲进医院找到杨倩沣抱怨道。杨倩沣经过询问得知，这名女子姓杨，是上海某公司一名高管，平日工作压力很大，妈妈突发脑出血住院后，爸爸又因着急出门摔伤了，父母两个人都需要她来照顾，白天处理工作，晚上守在病房，她一时忙不过来，情绪非常不好。
“My mother’s lung infection hasn’t gotten better at all, and she still has so much phlegm every day!” “My mother is the most important person to me. If anything happens to her, you will hear it from me!” At the end of last year, a woman in her thirties stormed into the hospital searching for Yang Qianfeng to air her grievances. Yang qianfeng learned that the woman’s last name was Yang and she was a senior executive at a company in Shanghai who was under immense stress. Her mother had been hospitalized after a sudden cerebral hemorrhage and her father had also gotten injured while rushing out. This entailed Ms. Yang had to care for both of her parents by herself. Faced with the pressures of her daytime job and caring for her parents at night, everything began taking an emotional toll on her.
看到杨小姐身心俱疲的样子，杨倩沣宽慰她说：“你父母在医院有护工帮着照顾，你就安心回家休息。”随后，杨倩沣对护工进行了手把手的培训，教护工基础的康复训练。在得知杨小姐是高管，做事非常注重规划时，杨倩沣就将患者的治疗计划以文字的形式告知杨小姐，得到认可后，再按计划实施，双方配合得很好。最终，杨小姐看到母亲的病情明显好转，就放心回上海工作了。
Seeing Ms. Yang was physically and emotionally exhausting, Yang Qianfeng consoled her, saying, “Medical personnel in the hospital will look after your parents carefully. You can go home and rest.” Afterwards, Yang Qianfeng gave detailed hands-on training to the nurses, teaching them basic rehabilitation exercises. Aware of Miss Yang’s busy schedule, Yang Qianfeng informed her of the treatment plan by sending her messages. Once approved, they implemented the plan accordingly, and both sides cooperated very well. Eventually, with her mother’s condition visibly improving, Ms. Yang felt reassured to return to work in Shanghai.
杨倩沣说，加强宣教、问清需求，做好人文关怀，这是她对待患者及家属的3个妙招。“宣教做到位了，家属对我的工作就多了配合，需求问清楚了，我的治疗就更有针对性，加之用心用情对患者及家属做好人文关怀，患者一定会有满意的康复效果。”
Yang Qianfeng said that strengthening communication, understanding their needs, and providing humanistic care are her three strategies in dealing with patients and their families. “When proper communication is achieved, they are more cooperative. When their needs are clearly understood, the treatment plans I provided become more targeted. In addition, by sincerely caring for patients and their families, satisfaction with the recovery results is guaranteed.”
康复机器人助力患者锻炼Rehabilitation robots assist patients in exercise
患者给她发来康复视频
A recovery video from her patient
跨栏、挖萝卜，在襄阳市中心医院南院区ICU里，71岁的宋大爷在康复机器人的引导下，正完成着下肢智能反馈训练。
In the ICU of the southern section of Xiangyang Central Hospital, 71-year-old Mr. Song is undergoing lower limb intelligent feedback training under the guidance of a rehabilitation robot.
“患者斜躺在这套康复设备上，按照屏幕提示，双脚在踩踏板上用力，屏幕上就会显示出患者双腿的跨度、力度等各项指标。”杨倩沣说，有了康复机器人的助力，可以帮重症卧床患者改善下肢循环，强化下肢传入感觉刺激，提高心肺耐力，有利于病情的康复。
“The patient lies diagonally on this rehabilitation equipment and exerts force on the foot pedals guided by the prompts on the screen. The screen then displays various indicators such as the span and intensity of the patient’s pedaling” Yang said. With the assistance of the rehabilitation robot, severely bedridden patients can improve blood circulation in their lower limbs, strengthen sensory stimulation to the lower limbs, and bolster their cardiopulmonary endurance, all of which are beneficial for recovery.
70岁的宋大爷因为脑出血卧床时间较长，加之病情反复无常，肺部感染严重，依赖呼吸机维持生命，逐渐出现了获得性肌无力。家人希望宋大爷在ICU里加强康复锻炼，提高生活质量，于是，杨倩沣每天对宋大爷进行体位转移训练和呼吸训练，强化其四肢运动功能，并利用下肢康复机器人有针对性地去帮助锻炼，强化心肺耐力，改善下肢循环，经过一段时间康复治疗，宋大爷成功脱离呼吸机，转到了普通病房。
Mr. Song had been bedridden for a long time due to a cerebral hemorrhage. With unpredictable fluctuations in his condition and severe lung infection, he was completely reliant on a ventilator and gradually developed myasthenia. His family hoped intensive rehabilitation exercises in the ICU would improve his quality of life. Therefore, Yang conducted daily postural transfer and respiratory training for Mr. Song, strengthening his limb mobility. Additionally, targeted exercises with lower limb rehabilitation robots were employed to improve cardiovascular endurance and enhance lower limb blood circulation. After a period of rehabilitation treatment, Mr. Song was successfully weaned off the ventilator and transferred to a general ward.
另一名患者龙大爷因脑梗卧床多日，前段时间雨雪低温天气，龙大爷突发急性肺炎，导致呼吸衰竭，依赖呼吸机辅助呼吸了一个多月，逐渐出现了肌无力和肌肉萎缩的状况。家人看着日渐虚弱的龙大爷浑身插满管子，天天受罪的样子，有了想放弃的念头。
Mr. Long, another patient suffering from cerebral infarction, had been confined to bed for several days. During a recent rainy and snowy weather, he developed acute pneumonia, resulting in respiratory failure. He then became dependent on a ventilator for over a month, which led to the gradual onset of muscle weakness and atrophy. Witnessing Mr. Long’s decline, countless tubes protruding from his body, his family began to contemplate the idea of giving up.
“康复科有个杨倩沣，搞心肺康复的，能帮患者提升呼吸功能，要不喊她来评估一下能否脱机？”龙大爷的主管医生提出了建议。获家属同意后，杨倩沣为龙大爷进行辅助呼吸技术、气道廓清技术、体位适应性训练等综合治疗，并借助简易康复机器人帮助他恢复下肢肌肉力量。经过一周的治疗，龙大爷顺利脱离呼吸机恢复自主呼吸，如今在家人陪同下可以脱氧状态借助轮椅出行了。
“There is a specialist, Yang Qianfeng, who focuses on cardiopulmonary rehabilitation in the rehabilitation department, and she is good at helping patients regain respiratory functions. Should we ask her to assess whether it’s possible for Mr. Long to be weaned off the ventilator?” suggested Mr. Long’s attending physician. With the family’s consent, Yang began providing comprehensive treatment to Mr. Long, including assisted breathing, airway clearance, and postural adaptation training. She also used a simple rehabilitation robot to help him regain lower limb muscle strength. After a week of treatment, Mr. Long was successfully weaned off the ventilator and was breathing independently. Now, with the assistance of his family members, he can use a wheelchair during outings without oxygen support.
“你看，这位杨阿姨左手能抓住物品了！”杨倩沣指着手机上一名患者给她发来的视频对记者说，50多岁的杨阿姨中风后左侧肢体活动不便，她在坚持做康复的同时，还找了一份在家代账的工作，如今，虽然行走还是有些不稳，但是心情很好，对未来重返健康生活信心十足。
“Look, Ms. Yang can grab objects with her left hand now!” Yang Qianfeng showed a video from a patient to the reporter. Ms. Yang, in her 50s, had difficulty moving her left side after a stroke. While receiving treatment in rehabilitation, she also found a job doing accounting at home. Now, although Ms. Yang’s walking is still slightly unsteady, she is confident about resuming a healthy life in the future.
“我爱这份康复事业，我骄傲，我是一名康复治疗师！”她说，“只要患者有需要，我就会在，随时准备着。”
“I love my job and I’m proud to be a rehabilitation therapist!” Yang Qianfeng said, “As long as patients need me, I’ll always be there ready to help.”
（通讯员供图）
(courtesy of correspondent)