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[新型冠状病毒肺炎危重症患者慢性重症期的呼吸康复建议]

[Recommendation of respiratory rehabilitation for PICS in critically ill patients with COVID-19].

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2020 Sep 12;43(9):737-743. doi: 10.3760/cma.j.cn112147-20200512-00592.

Abstract

The critically illsurvivors with COVID-19 have Post-Intensive Care Syndrome (PICS) manifestations of varying degrees of physical, cognitive, and mental disorders after discharge from the Intensive Care Unit. Comprehensive respiratory rehabilitation interventions for patients are essential to minimize disability rate, reduce medical costs, and increase social participation. Integrated the existing treatment experience and relevant literature evidence, we recommend the evaluation and intervention of respiratory rehabilitation in the two stages of discharge ICUto ward and home. Based on Chinese experience, a PCCM physician-led multidisciplinary team management process was constructed. Personal protection recommendations were made based on the potential risk of infection among critically ill COVID-19 survivors.

摘要

患有新冠肺炎的危重症幸存者在从重症监护病房出院后,会出现不同程度的身体、认知和精神障碍等重症监护后综合征(PICS)表现。对患者进行全面的呼吸康复干预对于降低残疾率、减少医疗费用以及提高社会参与度至关重要。综合现有治疗经验和相关文献证据,我们建议在从重症监护病房出院至病房和回家这两个阶段对呼吸康复进行评估和干预。基于中国经验,构建了以呼吸与危重症医学(PCCM)医生为主导的多学科团队管理流程。根据危重症新冠肺炎幸存者的潜在感染风险给出了个人防护建议。

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