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需要侵入性机械通风的COVID-19患者急性期密集电动肌肉刺激的影响:一项观察病例控制研究

Yohei Tsuchikawa¹, Shinya Tanaka¹, Daisuke Kasugai²

¹Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.

Scientific reports

|March 4, 2024

概括

电动肌肉刺激 (EMS) 在需要侵入性机械通风的严重COVID-19患者中没有改善身体功能. 这项研究发现EMS治疗和对照组之间的身体功能结果没有显著差异.

科学领域:

关键护理医学关键护理医学
康复医学康复医学康复医学
传染性疾病传染性疾病

背景情况:

严重的COVID-19患者需要侵入性机械通风 (IMV) 通常会经历显著的身体脱节.
早期康复对于改善重症患者的治疗结果至关重要.
电动肌肉刺激 (EMS) 是一种潜在的治疗方式,可以缓解肌肉缩并改善身体功能.

研究的目的:

研究急性期强度电动肌肉刺激 (EMS) 对COVID-19患者的身体功能的影响,这些患者患有需要IMV的呼吸衰竭.
确定是否将EMS添加到早期康复计划中可以提高重症监护室 (ICU) 的身体功能恢复.

主要方法:

一项追溯观察病例控制研究,将接受EMS治疗的COVID-19患者与年龄相匹配的历史对照组进行比较.
在干预组中,EMS在上肢和下肢肌肉上施加了长达两周的时间.
使用医学研究理事会总和分数和ICU出院时的ICU移动度量表来评估身体功能.

主要成果:

该研究包括EMS组的16名患者和控制组的16名患者 (平均年龄71岁,81.2%是男性).
医学研究理事会总分 (51比53) 或ICU出院时的ICU流动度量表中没有观察到两组之间的显著差异.
在ICU入院后平均3.2天开始EMS治疗,没有报告任何不良事件.

结论:

在早期康复计划中添加上肢和下肢肌肉EMS治疗并没有导致严重的COVID-19患者在ICU出院时改善身体功能.
可能需要进一步的研究来探索最佳的时间,强度,或特定的患者群体EMS在重症康复.
目前的证据表明,在这个特定的患者队列中,EMS可能不是身体功能恢复的有益辅助.

关键词:

重症监护病房获得了弱点.神经肌肉电刺激是一种神经肌肉电刺激.身体的表现身体的表现这就是SARS-CoV-2病毒.风扇风机的使用方法

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