危重症患者神经肌肉电刺激的短期结局
Short-Term Outcomes of Neuromuscular Electrical Stimulation in Critically Ill Patients.
作者信息
Mahran Ghada S K, Mehany Mogeda M, Abbas Mostafa S, Shehata Abd-ElRady, AbdElhafeez Azza S, Obiedallah Ahmed A, Mohamed Sherif A
机构信息
Department of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt (Drs Mahran and Mehany); Departments of Anesthesia and Intensive Care (Drs Abbas and Shehata), Medical Physiology (Dr AbdElhafeez), Internal Medicine, Cardiology and Critical Care Medicine Unit (Dr Obiedallah), and Chest Diseases and Tuberculosis (Mohamed), Faculty of Medicine, Assiut University, Assiut, Egypt.
出版信息
Crit Care Nurs Q. 2023;46(2):126-135. doi: 10.1097/CNQ.0000000000000445.
Muscle weakness acquired in the intensive care unit (ICU) adversely affects outcomes of ICU patients. This article reports the short-term respiratory effects of neuromuscular electrical stimulation (NMES) in critically ill patients. Patients were randomly assigned to an intervention group (NMES + conventional physiotherapy) and a control group (sham NMES + conventional physiotherapy). The application of NMES in the intervention group resulted in a significant decrease in the duration of mechanical ventilation and reduced the number of weaning trial failures. Other positive outcomes included reductions in the length of ICU stays and decreased mortality when compared with the control group.
在重症监护病房（ICU）获得的肌肉无力会对ICU患者的预后产生不利影响。本文报告了神经肌肉电刺激（NMES）对危重症患者的短期呼吸影响。患者被随机分为干预组（NMES + 传统物理治疗）和对照组（假NMES + 传统物理治疗）。干预组中NMES的应用导致机械通气时间显著缩短，并减少了撤机试验失败的次数。与对照组相比，其他积极结果包括ICU住院时间缩短和死亡率降低。
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