在康复单位的COVID后患者中治疗食障碍的治疗方法:一项描述性的纵向研究
Anna Guillen-Sola1,2, Cindry Ramírez3,4, Sonia Nieto3
1Department of Physical Medicine and Rehabilitation, Parc de Salut Mar, Barcelona, Spain - aguillen@psmar.cat.
European journal of physical and rehabilitation medicine
|March 19, 2024
概括
这项研究发现,为期3周的干预,结合启发性肌肉训练 (IEMT) 和神经肌肉电刺激 (NMES),是严重COVID-19幸存者的消化不良可行且安全的治疗方法,改善了吞功能,并使饮食恢复.
科学领域:
- 康复医学 康复医学 康复医学
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 缺食症是住院COVID-19患者常见的,往往被诊断不足的并发症,导致长时间的康复.
- 现有的针对COVID后食障碍的特定治疗方法和方案仍未得到充分研究.
研究的目的:
- 评估一种结合启发性肌肉训练 (IEMT) 和神经肌肉电刺激 (NMES) 方案的可行性,用于治疗长期住院COVID-19患者的消化障碍.
- 评估这种干预措施的安全性和有效性.
主要方法:
- 一项观察性,描述性,前性研究,涉及58名COVID-19患者.
- 一个涉及IEMT和NMES的3周治疗方案,可行性通过坚持,结果和不良事件进行评估.
- 使用视频光学和压力测量测量了呼吸和吞功能.
主要成果:
- 严重的COVID-19患者中,86.6%的人患有缺食症.
- 3周的干预显著改善了呼吸和吞的参数.
- 66.7%的管养依赖患者恢复了正常饮食,84.09%在出院时接受了无限制饮食. 治疗坚持率为85%,没有显著的不良事件.
结论:
- 使用IEMT和NMES进行结构化的吞运动训练干预对于长时间住院的COVID后患者来说是可行的和安全的.
- 标准化康复方案可以优化食障碍治疗,导致更快的恢复和更少的并发症.
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