早期活动防治重症监护室获得性衰弱的研究进展

doi:10.3969/j.issn.1006-9771.2017.01.012

摘要/Abstract

摘要： 早期活动对预防重症监护室获得性衰弱有益。本文总结其方法和时机、早期活动的效果评价指标,以及早期活动的注意事项。

Abstract: Early mobilization is beneficial in the prevention of intensive care unit acquired weakness. This paper summarized the methods, opportunity, evaluation of early mobilization intervention, and some notes.

Key words: critical care patient, intensive care unit acquired weakness, early mobilization, rehabilitation, review

中图分类号:

R473

潘世琴, 张情, 王丽. 早期活动防治重症监护室获得性衰弱的研究进展[J]. 《中国康复理论与实践》, 2017, 23(1): 50-53.

PAN Shi-qin, ZHANG Qing, WANG Li. Early Mobilization for Intensive Care Unit Acquired Weakness (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(1): 50-53.

参考文献

[1] Schefold JC, Bierbrauer J, Weber-Carstens S. Intensive care unit-acquired weakness (ICUAW) and muscle wasting in critically ill patients with severe sepsis and septic shock [J]. J Cachexia Sarcopenia Muscle, 2010, 1(2): 147-157.
[2] Stevens RD, Marshall SA, Cornblath DR, et al. A framework for diagnosing and classifying intensive care unit-acquired weakness [J]. Crit Care Med, 2009, 37(10 Suppl): S299-S308.
[3] Mendez-Tellez PA, Nusr R, Feldman D, et al. Early physical rehabilitation in the ICU: a review for the neurohospitalist [J]. Neurohospitalist, 2012, 2(3): 96-105.
[4] Ali NA, O'Brien JM Jr, Hoffmann SP, et al. Acquired weakness, hand grip strength, and mortality in critically ill patients [J]. Am J Respir Crit Care Med, 2008, 178(3): 261-268.
[5] Sharshar T, Bastuji-Garin S, Stevens RD, et al. Presence and severity of intensive care unit-acquired paresis at time of awakening are associated with increased intensive care unit and hospital mortality [J]. Crit Care Med, 2009, 37(12): 3047-3053.
[6] De Jonghe B, Sharshar T, Lefaucheur JP, et al. Paresis acquired in the intensive care unit: a prospective multicenter study [J]. JAMA, 2002, 288(22): 2859-2867.
[7] Mirzakhani H, Williams JN, Mello J, et al. Muscle weakness predicts pharyngeal dysfunction and symptomatic aspiration in long-term ventilated patients [J]. Anesthesiology, 2013, 119(2): 389-397.
[8] Bercker S, Weber-Carstens S, Deja M, et al. Critical illness polyneuropathy and myopathy in patients with acute respiratory distress syndrome [J]. Crit Care Med, 2005, 33(4): 711-715.
[9] Fan E, Dowdy DW, Colantuoni E, et al. Physical complications in acute lung injury survivors: a two-year longitudinal prospective study [J]. Crit Care Med, 2014, 42(4): 849-859.
[10] Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit [J]. Crit Care Med, 2013, 41(1): 263-306.
[11] Jolley SE, Bunnell A, Hough CL. Intensive care unit acquired weakness [J]. Chest, 2016, 150(5): 1129-1140.
[12] Chiang LL, Wang LY, Wu CP, et al. Effects of physical training on functional status in patients with prolonged mechanical ventilation [J]. Phys Ther, 2006, 86(9): 1271-1281.
[13] Martin UJ, Hincapie L, Nimchuk M, et al. Impact of whole-body rehabilitation in patients receiving chronic mechanical ventilation [J]. Crit Care Med, 2005, 33(10): 2259-2265.
[14] Thomsen GE, Snow GL, Rodriguez L, et al. Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority [J]. Crit Care Med, 2008, 36(4): 1119-1124.
[15] Klein K, Mulkey M, Bena JF, et al. Clinical and psychological effects of early mobilization in patients treated in a neurologic ICU: a comparative study [J]. Crit Care Med, 2015, 43(4): 865-873.
[16] Titsworth WL, Hester J, Correia T, et al. The effect of increased mobility on morbidity in the neurointensive care unit [J]. J Neurosurg, 2012, 116(6): 1379-1388.
[17] Yosef-Brauner O, Adi N, Ben Shahar T, et al. Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness [J]. Clin Respir J, 2015, 9(1): 1-6.
[18] Hashem MD, Parker AM, Needham DM. Early mobilization and rehabilitation of patients who are critically ill [J]. Chest, 2016, 150(3): 722-731.
[19] McWilliams D, Weblin J, Atkins G, et al. Enhancing rehabilitation of mechanically ventilated patients in the intensive care unit: a quality improvement project [J]. J Crit Care, 2015, 30(1): 13-18.
[20] 翁卫群,陈卫军,严丽华. 早期活动干预对心脏直视手术患者术后康复的影响[J]. 实用临床医药杂志, 2012, 16(14): 49-51.
[21] 李丽霞. 镇静唤醒联合早期功能锻炼在ICU机械通气患者中的应用[J]. 护理实践与研究, 2013, 10(15): 21-22.
[22] 俞玲娜. 早期主动干预改善ICU获得性衰弱的研究[D]. 大连:大连医科大学, 2013.
[23] 王迎晓,王芳,金宗玉. 护理干预在肾脏科ICU获得性衰弱预防中的应用[J]. 护理研究, 2015, 29(10): 3560-3562.
[24] 俞萍. 早期活动与康复计划在ICU机械通气患者中的应用[J]. 护士进修杂志, 2016, 31(2): 161-162.
[25] Dong Z, Yu B, Zhang Q, et al. Early rehabilitation therapy is beneficial for patients with prolonged mechanical ventilation after coronary artery bypass surgery [J]. Int Heart J, 2016, 57(2): 241-246.
[26] Tracy M. Mobility protocol: nursing standard of care [J]. Crit Care Nurse, 2004, 24(4): 88, 87.
[27] Bailey P, Thomsen GE, Spuhler VJ, et al. Early activity is feasible and safe in respiratory failure patients [J]. Crit Care Med, 2007, 35(1): 139-145.
[28] Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure [J]. Crit Care Med, 2008, 36(8): 2238-2243.
[29] Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial [J]. Lancet, 2009, 373(9678): 1874-1882.
[30] 朱云龙,袁光雄,许俊,等. 早期康复训练对严重脓毒症患者ICU获得性肌无力的影响[J]. 内科急危重症杂志, 2016, 22(1): 43-45.
[31] Gosselink R, Bott J, Johnson M, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients [J]. Intensive Care Med, 2008, 34(7): 1188-1199.
[32] 胡惠娟,魏红云,徐杰,等. 早期活动干预对ICU获得性肌无力病人的影响[J]. 护理研究, 2014, 28(9): 3378-3379.
[33] Amidei C, Sole ML. Physiological responses to passive exercise in adults receiving mechanical ventilation [J]. Am J Crit Care, 2013, 22(4): 337-348.
[34] 吴浩,孙兴国,顾文超,等. 功率自行车下肢亚极量运动对慢性阻塞性肺疾病康复影响的临床报告[J]. 中国应用生理学杂志, 2015, 31(4): 382-384.
[35] 莫韶妹,冼燕珊,李绮慈,等. 改良呼吸操在COPD机械通气患者中的应用研究[J]. 护理学报, 2014, 13(21): 20-22.
[36] 葛瑞东. 指压穴位刺激对脑卒中患者胫前肌和腓骨长、短肌影响的表面肌电研究[D]. 北京:北京中医药大学, 2014.
[37] 黄梅英,林兰,林艳萍,等. 指压穴位刺激配合肢体功能锻炼预防ICU获得性衰弱的效果研究[J]. 齐齐哈尔医学院学报, 2016, 37(13): 1664-1666.
[38] Trees DW, Smith JM, Hockert S. Innovative mobility strategies for the patient with intensive care unit-acquired weakness: a case report [J]. Phys Ther, 2013, 93(2): 237-247.
[39] Parry SM, Berney S, Koopman R, et al. Early rehabilitation in critical care (eRiCC): functional electrical stimulation with cycling protocol for a randomised controlled trial [J]. BMJ Open, 2012, 2(5): e001891.
[40] Brahmbhatt N, Murugan R, Milbrandt EB. Early mobilization improves functional outcomes in critically ill patients [J]. Crit Care, 2010, 14(5): 321.
[41] Thomas K, Wright SE, Watson G, et al. Extra Physiotherapy in Critical Care (EPICC) Trial Protocol: a randomised controlled trial of intensive versus standard physical rehabilitation therapy in the critically ill [J]. BMJ Open, 2015, 5(5): e008035.
[42] Kayambu G, Boots RJ, Paratz JD. Early rehabilitation in sepsis: a prospective randomised controlled trial investigating functional and physiological outcomes The i-PERFORM Trial (Protocol Article) [J]. BMC Anesthesiol, 2011, 11: 21.
[43] Needham DM, Chandolu S, Zanni J. Interruption of sedation for early rehabilitation improves outcomes in ventilated, critically ill adults [J]. Aust J Physiother, 2009, 55(3): 210.