神经肌肉电刺激对重症监护病房机械通气患者肌力及预后的影响

doi:10.20047/j.issn1673-7210.2022.31.24

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Abstract Objective To investigate the effect of neuromuscular electrical stimulation (NMES) on muscle strength and prognosis of mechanically ventilated patients in intensive care unit (ICU). Methods A total of 106 patients admitted to ICU of Danzhou People’s Hospital of Hainan Province from January 2020 to December 2021 were selected, and they were divided into two groups according to the random number table method. The control group (53 cases) received routine symptomatic treatment and rehabilitation training, and observation group (53 cases) received NMES on the basis of control group. The mechanical ventilation time, ICU stay time, and hospital stay were compared between two groups; the grip strength, medical research council manual muscle test (MRC) score, acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score, and Barthel index were compared between two groups on the 3rd day of ICU admission and on the day of ICU exit; the incidence of ICU-acquired myasthenia (ICU-AW) and the mortality within 28 days were compared between two groups. Results The mechanical ventilation time, ICU stay time, and hospital stay in the observation group were shorter than those in control group (P ＜ 0.05). On the day of ICU exit, the grip strength, MRC score and Barthel index in both groups were higher than those on the 3rd day of ICU admission, and observation group was higher than control group (P ＜ 0.05); APACHE Ⅱ score in both groups were lower than those on the 3rd day of ICU admission, and observation group was lower than control group (P ＜ 0.05). On the day of ICU exit, the incidence of ICU-AW and mortality within 28 days in observation group were lower than those in control group (P ＜ 0.05). Conclusion NMES can effectively improve the muscle strength of ICU patients with mechanical ventilation, reduce the incidence and mortality of ICU-AW, and improve the prognosis of patients.

Key words： Intensive care unit Acquired myasthenia Mechanical ventilation Neuromuscular electrical stimulation Prognosis

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	DANG Hui1 CHEN Jun2 CHEN Weirong1 LI Jianming1 YANG Feifei1

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DANG Hui1 CHEN Jun2 CHEN Weirong1 LI Jianming1 YANG Feifei1. Effect of neuromuscular electrical stimulation on muscle strength and prognosis of mechanically ventilated patients in intensive care unit[J]. 中国医药导报, 2022, 19(31): 104-107.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.31.24 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I31/104

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