鼓舞人心的肌肉训练在急性COVID-19呼吸衰竭住院期间:一个随机对照试验
Haley Bento1,2,2,2,2,2,2,3,4, Elizabeth Fisk1,2,2,2,2,2,2,3,4, Emma Johnson1,2,2,2,2,2,2,3,4
1Acute Therapy Services, University of Utah Health, 520 Wakara Way, Salt Lake City, UT 84108 (USA). Haley.Bento@utah.edu. Department of Physical Therapy and Athletic Training, The University of Utah, Salt Lake City.
Journal of acute care physical therapy
|June 30, 2023
概括
启发性肌肉训练 (IMT) 对住院的COVID-19患者来说是安全和可行的,显示出改善的呼吸强度和更短的住院时间. 这种干预可以使患者在疾病急性阶段受益.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 启发性肌肉训练 (IMT) 是在COVID-19后的恢复中建立的.
- 关于IMT在急性COVID-19住院期间的安全性和可行性的数据有限.
- 本研究调查了在急性护理中早期IMT的实施情况.
研究的目的:
- 评估IMT在COVID-19住院患者中的安全性和可行性.
- 评估IMT在急性疾病期间对呼吸功能和临床结果的影响.
主要方法:
- 60名住院COVID-19患者被随机分配到标准护理或IMT加标准护理.
- IMT包括每天使用值训练员进行2次训练,根据感知到的劳动力进行抵抗调整.
- 结果包括最大吸气压 (MIP),功能尺度,氧气使用,停留时间和不良事件.
主要成果:
- 41名患者完成了这项研究;161次IMT疗程进行,副作用最小 (1.8%).
- 两组均显示MIP改善,氧气需求减少;IMT组住院时间较短.
- 死亡率在各组之间是相似的 (对照组2个,干预组3个).
结论:
- IMT似乎是选择住院COVID-19患者的安全和可行的干预措施.
- 早期实施IMT可能有助于改善呼吸功能,并可能减少住院时间.
- 需要进一步的研究来优化IMT协议在急性COVID-19护理.
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