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中华危重症医学杂志(电子版) ›› 2023, Vol. 16 ›› Issue (02) : 154 -158. doi: 10.3877/cma.j.issn.1674-6880.2023.02.012

综述

重症监护病房获得性肌无力康复干预的研究进展
谢佳佳, 沈悦好, 刘素彦(), 张岚, 吕路, 田彦超   
  1. 300052 天津,天津医科大学总医院呼吸科
    300052 天津,天津医科大学总医院重症医学科
    300052 天津,天津医科大学总医院护理部
    300052 天津,天津医科大学总医院普外科
    300052 天津,天津医科大学总医院心胸外科
  • 收稿日期:2022-07-08 出版日期:2023-04-30
  • 通信作者: 刘素彦
  • 基金资助:
    重大疑难疾病中西医临床协作试点项目(3011002)
  • Received:2022-07-08 Published:2023-04-30
引用本文:

谢佳佳, 沈悦好, 刘素彦, 张岚, 吕路, 田彦超. 重症监护病房获得性肌无力康复干预的研究进展[J]. 中华危重症医学杂志(电子版), 2023, 16(02): 154-158.

重症监护病房获得性肌无力(intensive care unit acquired weakness,ICU-AW)是重症患者在ICU治疗过程中发生的且不能用重症疾病以外其它原因解释的神经肌肉损伤,对病程及预后均有影响[1]。研究显示,ICU-AW发病率为25% ~ 31%,每年新增患者数为325万~ 620万[2]。在ICU基础疾病治疗过程中,肌无力更多是继发存在的,镇静、全身炎症反应及类固醇激素的应用等容易引发ICU-AW[3]。ICU-AW是增加ICU病死率和院内病死率的独立影响因子,康复出院1年后能重返工作岗位者仅占49%,严重影响患者5年内的生活质量,并延长患者的住院时间[3-5]。目前ICU-AW还没有有效的治疗方法,早期康复治疗可恢复肌肉的数量和力量[6]。因此,ICU-AW患者的早期康复干预应引起重视,本研究就此作一综述。

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