设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 审稿专家名录 | 投稿指南 | 订阅指南 | 过刊浏览 | 广告投放 | 论著模板 | 综述模板 | 帮助

 
陈 红,任小莉,程青虹,李建华.神经肌肉电刺激与早期被动活动对机械通气患者ICU获得性虚弱的影响[J].中国康复医学杂志,2018,(2):146~150
神经肌肉电刺激与早期被动活动对机械通气患者ICU获得性虚弱的影响    点此下载全文
陈 红  任小莉  程青虹  李建华
新疆石河子大学医学院护理系,新疆省石河子市,832000
基金项目:
DOI:
摘要点击次数: 330
全文下载次数: 220
摘要:
      摘要 目的:探讨早期被动活动与神经肌肉电刺激(NMES)对机械通气患者ICU获得性虚弱(ICU-AW)的影响。 方法:前瞻性随机对照的研究方法,共纳入144例机械通气患者,按随机数字法分到对照组、活动组、NEMS组及联合组,监测机械通气后患者第1、3、5、7d肌力水平,并记录机械通气、入住ICU时间及总住院时间。 结果:相比对照组,其余三组患者肌力均有所改善,联合组肌力增加水平更显著且时间更早,第3天 MRC(Medical Research Council score,MRC-score)评分联合组即高于对照组(P<0.05);而NMES组至第5天仅高于对照组(P<0.05)。各组患者ICU-AW患病率均呈上升趋势,但第7天时联合组患病率明显低于其余三组(患病率分别为55.26%、45.71%、33.33%、22.86%),第5、7天时的对照组与NMES组、联合组以及活动组与联合组的患病率有差异(P<0.05)。四组机械通气及入住ICU时间比较,联合组比对照组、活动组和NMES组比对照组均明显减少(P<0.05);NMES组与联合组仅在机械通气时间中有差异(P<0.05);各组总住院时间均无差异(P>0.05)。 结论:NMES与早期被动活动均可维持或改善患者肌力,使患者ICU-AW的患病率降低、机械通气时间和入住ICU时间减少,NMES的疗效优于手动被动干预,而联合组效果更加显著
关键词:ICU获得性虚弱  早期被动活动  神经肌肉电刺激  机械通气
Effects of early passive motion and neuromuscular electrical stimulation on ICU acquired weakness in mechanically ventilated patients    Download Fulltext
Department of Nursing, the Medical College of Shihezi University,Shihezi University, Shihezi, 832000
Fund Project:
Abstract:
      Abstract Objective: To investigate the effect of early passive activity and neuromuscular electrical stimulation (NMES) on ICU-acquired weakness (ICU-AW) in patients receiving mechanical ventilation. Method: A prospective randomized controlled study was conducted in 144 patients receiving mechanical ventilation. they were divided into control group, activity group, NMES group and combination group with the random number table. At the 1st, 3rd, 5th and 7th day after mechanical ventilation, muscle strength was monitored, and the duration of mechanical ventilation, ICU stay and hospital stay were recorded. Result: Comparing with the control group, muscle strength was improved in the other 3 groups. The increase of muscle strength in the combination group was more obvious and occurring earlier. At the 3rd day, Medical Research Council(MRC) score in the combination group was higher than that in the control group(P<0.05). At the 5th day, MRC score in the NMES group was higher than that in the control group(P<0.05). The incidence of ICU-AW in each group showed an upward trend. However, at the 7th day, the incidence was evidently lower in the combination group (22.86%) as compared with the other 3 groups (55.26%,45.71%,33.33%). At the 5th and 7th day, the incidence of NMES group was less than the control group(P<0.05),and the combination group was less than the control group and activity group (P<0.05). Comparison among the 4 groups demonstrated that the duration of mechanical ventilation and ICU stay reduced significantly in the combination group than the control group and the activity group(P<0.05), as well as in the NMES group than the control group(P<0.05). Comparison between the NMES group and the combination group showed a difference only in the duration of mechanical ventilation. The duration of hospital stay presented no differences among each group(P>0.05). Conclusion: Both early passive activity and NMES can maintain or improve patients’ muscle strength, reduce the incidence of ICU-AW and the duration of mechanical ventilation and ICU stay. Additionally, the efficacy of NMES is superior to manual passive intervention, and the efficacy in the combination group is more significant.
Keywords:intensive care unit acquired weakness  early passive activity  neuromuscular electrical stimulation  mechanical ventilation
查看全文  查看/发表评论  下载PDF阅读器

您是本站第 14990228 位访问者

版权所有:中国康复医学会
主管单位:国家卫生和计划生育委员会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计 京ICP备10000329号