Ji Hye Min, Won Yu Hui
Veterans Medical Research Institute, Veterans Health Service Medical Center, Seoul, Republic of Korea.
Department of Physical Medicine and Rehabilitation, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Tuberc Respir Dis (Seoul). 2024 Apr;87(2):115-122. doi: 10.4046/trd.2023.0144. Epub 2023 Dec 28.
Post-intensive care unit (ICU) syndrome may occur after ICU treatment and includes ICU-acquired weakness (ICU-AW), cognitive decline, and mental problems. ICU-AW is muscle weakness in patients treated in the ICU and is affected by the period of mechanical ventilation. Diaphragmatic weakness may also occur because of respiratory muscle unloading using mechanical ventilators. ICU-AW is an independent predictor of mortality and is associated with longer duration of mechanical ventilation and hospital stay. Diaphragm weakness is also associated with poor outcomes. Therefore, pulmonary rehabilitation with early mobilization and respiratory muscle training is necessary in the ICU after appropriate patient screening and evaluation and can improve ICU-related muscle weakness and functional deterioration.
重症监护病房（ICU）综合征可能在ICU治疗后出现，包括ICU获得性肌无力（ICU-AW）、认知功能下降和精神问题。ICU-AW是指在ICU接受治疗的患者出现的肌肉无力，且受机械通气时间的影响。使用机械通气进行呼吸肌卸载也可能导致膈肌无力。ICU-AW是死亡率的独立预测因素，与机械通气时间延长和住院时间相关。膈肌无力也与不良预后相关。因此，在对患者进行适当筛查和评估后，ICU内进行早期活动和呼吸肌训练的肺康复是必要的，且可改善与ICU相关的肌肉无力和功能恶化。
