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烧伤患者的重症监护病房获得性肌无力

Intensive care unit-acquired weakness in the burn population.

作者信息

Cubitt Jonathan J, Davies Menna, Lye George, Evans Janine, Combellack Tom, Dickson William, Nguyen Dai Q

机构信息

The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.

The Welsh Centre for Burns and Plastic Surgery Morriston Hospital, Morriston, Swansea SA6 6NL, UK.

出版信息

J Plast Reconstr Aesthet Surg. 2016 May;69(5):e105-9. doi: 10.1016/j.bjps.2016.01.033. Epub 2016 Feb 12.

Abstract

Intensive care unit-acquired weakness is an evolving problem in the burn population. As patients are surviving injuries that previously would have been fatal, the focus of treatment is shifting from survival to long-term outcome. The rehabilitation of burn patients can be challenging; however, a certain subgroup of patients have worse outcomes than others. These patients may suffer from intensive care unit-acquired weakness, and their treatment, physiotherapy and expectations need to be adjusted accordingly. This study investigates the condition of intensive care unit-acquired weakness in our burn centre. We conducted a retrospective analysis of all the admissions to our burn centre between 2008 and 2012 and identified 22 patients who suffered from intensive care unit-acquired weakness. These patients were significantly younger with significantly larger burns than those without intensive care unit-acquired weakness. The known risk factors for intensive care unit-acquired weakness are commonplace in the burn population. The recovery of these patients is significantly affected by their weakness.

摘要

重症监护病房获得性肌无力是烧伤人群中一个不断演变的问题。随着患者从以前可能致命的损伤中存活下来,治疗重点正从生存转向长期预后。烧伤患者的康复可能具有挑战性;然而,特定亚组的患者预后比其他患者更差。这些患者可能患有重症监护病房获得性肌无力,其治疗、物理治疗及预期都需要相应调整。本研究调查了我们烧伤中心重症监护病房获得性肌无力的情况。我们对2008年至2012年间入住我们烧伤中心的所有患者进行了回顾性分析,确定了22例患有重症监护病房获得性肌无力的患者。这些患者比未患重症监护病房获得性肌无力的患者明显更年轻,烧伤面积也明显更大。重症监护病房获得性肌无力的已知危险因素在烧伤人群中很常见。这些患者的康复明显受到肌无力的影响。

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