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制动与卧床休息的并发症。第2部分:其他并发症。

Complications of immobilization and bed rest. Part 2: Other complications.

作者信息

Teasell R, Dittmer D K

机构信息

Department of Physical Medicine and Rehabilitation, University of Western Ontario, London.

出版信息

Can Fam Physician. 1993 Jun;39:1440-2, 1445-6.

PMID:8324412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2379609/
Abstract

Prolonged immobilization affects almost every organ system. Respiratory complications include decreased ventilation, atelectasis, and pneumonia. Decreased basal metabolic rate, increased diuresis, natriuresis, and nitrogen and calcium depletion affect metabolism. Genitourinary problems include renal stones and more frequent urinary tract infections. Glucose intolerance, anorexia, constipation, and pressure sores might develop. Central nervous system changes could affect balance and coordination and lead to increasing dependence on caregivers.

摘要

长期制动几乎会影响每个器官系统。呼吸系统并发症包括通气减少、肺不张和肺炎。基础代谢率降低、利尿增加、钠尿增加以及氮和钙消耗会影响新陈代谢。泌尿生殖系统问题包括肾结石和更频繁的尿路感染。可能会出现葡萄糖不耐受、厌食、便秘和压疮。中枢神经系统变化可能会影响平衡和协调能力,并导致对护理人员的依赖增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7174/2379609/3bbfdf798d2a/canfamphys00112-0159-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7174/2379609/3bbfdf798d2a/canfamphys00112-0159-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7174/2379609/3bbfdf798d2a/canfamphys00112-0159-a.jpg

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本文引用的文献

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Hypercalcemia nephropathy and encephalopathy following immobilization; case report.制动后高钙血症肾病和脑病;病例报告
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Influence of posture on the lung volumes, ventilation and circulation in normals; a spirometric-bronchospirometric investigation.姿势对正常人肺容量、通气及循环的影响;一项肺量计-支气管肺量计研究
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Immobilisation hypercalcaemia in adults and treatment with clodronate.成人制动后高钙血症及氯膦酸盐治疗
夜间睡眠时间长与肾小管损伤风险:来自中国农村的证据及孟德尔随机化分析
Ren Fail. 2025 Dec;47(1):2478320. doi: 10.1080/0886022X.2025.2478320. Epub 2025 Mar 17.
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Association between bed-rest time, food intake, and constipation in older nursing home residents.老年养老院居民卧床休息时间、食物摄入量与便秘之间的关联。
Geriatr Gerontol Int. 2025 Apr;25(4):583-587. doi: 10.1111/ggi.70025. Epub 2025 Feb 28.
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Impact of Treatment Modalities and Fracture Stability on Survival in Thoracolumbar Fractures: A 5-Year Observational Study.治疗方式和骨折稳定性对胸腰椎骨折患者生存率的影响:一项为期5年的观察性研究
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Association Between Early Mobilization and Postoperative Pneumonia Following Robot-assisted Minimally Invasive Esophagectomy in Patients with Thoracic Esophageal Squamous Cell Carcinoma.胸段食管鳞状细胞癌患者机器人辅助微创食管切除术后早期活动与术后肺炎的相关性
Phys Ther Res. 2024;27(3):121-127. doi: 10.1298/ptr.E10293. Epub 2024 Sep 20.
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A retrospective analysis of the clinical profile and factors associated with mortality and poor hospital outcomes in adult Guillain-Barre syndrome patients.成人吉兰-巴雷综合征患者的临床特征及与死亡率和不良住院结局相关因素的回顾性分析。
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Patient-reported outcome survey of user-experiences in the spinal cord injured-community with MPPT for treating wounds and pressure injuries and for controlling soft tissue infection caused by osteomyelitis.脊髓损伤社区患者关于使用最大功率点跟踪技术治疗伤口、压疮以及控制骨髓炎引起的软组织感染的用户体验报告结果调查。
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Effects of pre-transplant chest physical therapy on spirometric values and respiratory muscle strength in patients waiting for allogeneic hematopoietic stem cell transplantation: a randomized controlled trial.移植前胸部物理治疗对等待异基因造血干细胞移植患者肺功能测定值及呼吸肌力量的影响:一项随机对照试验
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Stable closure of acute and chronic wounds and pressure ulcers and control of draining fistulas from osteomyelitis in persons with spinal cord injuries: non-interventional study of MPPT passive immunotherapy delivered via telemedicine in community care.脊髓损伤患者急性和慢性伤口、压疮的稳定闭合以及骨髓炎引流瘘管的控制:通过远程医疗在社区护理中提供MPPT被动免疫疗法的非干预性研究。
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Study of nitrogen balance and creatine and creatinine excretion during recumbency and ambulation of five young adult human males.对五名年轻成年男性在卧位和行走期间氮平衡以及肌酸和肌酐排泄情况的研究。
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