Dantas Camila Moura, Silva Priscila Figueiredo Dos Santos, Siqueira Fabio Henrique Tavares de, Pinto Rodrigo Marinho Falcão, Matias Simone, Maciel Caroline, Oliveira Marcia Correa de, Albuquerque Cláudio Gonçalves de, Andrade Flávio Maciel Dias, Ramos Francimar Ferrari, França Eduardo Eriko Tenório
Rev Bras Ter Intensiva. 2012 Jun;24(2):173-8.
To evaluate the effects of an early mobilization protocol on respiratory and peripheral muscles in critically ill patients.
A randomized controlled clinical trial was conducted with 59 male and female patients on mechanical ventilation. The patients were divided into a conventional physical therapy group (control group, n=14) that received the sector's standard physical therapy program and an early mobilization group (n=14) that received a systematic early mobilization protocol. Peripheral muscle strength was assessed with the Medical Research Council score, and respiratory muscle strength (determined by the maximal inspiratory and expiratory pressures) was measured using a vacuum manometer with a unidirectional valve. Systematic early mobilization was performed on five levels.
Significant increases were observed for values for maximal inspiratory pressure and the Medical Research Council score in the early mobilization group. However, no statistically significant improvement was observed for maximal expiratory pressure or MV duration (days), length of stay in the intensive care unit (days), and length of hospital stay (days).
The early mobilization group showed gains in inspiratory and peripheral muscle strength.
评估早期活动方案对重症患者呼吸肌和外周肌肉的影响。
对59例接受机械通气的男性和女性患者进行了一项随机对照临床试验。患者被分为接受科室标准物理治疗方案的传统物理治疗组（对照组，n = 14）和接受系统性早期活动方案的早期活动组（n = 14）。使用医学研究委员会评分评估外周肌肉力量，使用带有单向阀的真空压力计测量呼吸肌力量（由最大吸气和呼气压力确定）。系统性早期活动分五个级别进行。
早期活动组的最大吸气压力值和医学研究委员会评分显著增加。然而，最大呼气压力、机械通气持续时间（天）、重症监护病房住院时间（天）和住院时间（天）均未观察到统计学上的显著改善。
早期活动组在吸气和外周肌肉力量方面有所提高。
