评估神经肌肉电刺激用于预防和管理重症监护室所获得的弱点:目前的证据和未来的方向
Annu Lisa Kurian1, Brandon Lucke-Wold2
1College of Medicine, Florida State University, Tallahassee, FL 32304, United States.
World journal of cardiology
|November 4, 2024
概括
神经肌肉电刺激 (NMES) 对心脏手术患者来说是安全的,在预防肌肉损失和提高力量方面显示出有前途,特别是在手术前. 手术后的益处是不一致的,需要进一步的研究以找到最佳的方案.
科学领域:
- 临界护理医学 临界护理医学
- 康复疗法 康复疗法
- 神经肌肉生理学 神经肌肉生理学
背景情况:
- 在重症监护室获得的软弱 (ICU-AW) 会导致严重的肌肉缩和功能衰退.
- 神经肌肉电刺激 (NMES) 是一个潜在的治疗干预措施,以减轻ICU-AW.
- 心脏手术患者特别容易受到ICU-AW的影响,影响恢复和移动性.
研究的目的:
- 系统地审查NMES在心脏手术前后患者的安全性和有效性.
- 评估NMES对功能能力,移动性和肌肉力量的影响.
- 确定关键护理环境中NMES的挑战和未来研究方向.
主要方法:
- 对心脏手术前后人群中NMES现有文献的系统审查.
- 对干预方案的分析,包括NMES的频率,持续时间和强度.
- 评估与肌肉力量,功能移动性 (如6分钟步行测试) 和安全相关的结果.
主要成果:
- 在各种协议中,NMES证明了一般的安全性和可行性.
- 肌肉强度和6分钟步行测试距离的改善,特别是在手术前的患者.
- 手术后的益处是不一致的,诸如短时间的ICU停留和身体组成等挑战影响了疗效.
结论:
- 在预防肌肉损失和增强心脏手术患者的力量方面,NMES显示出有前途,特别是在手术前.
- 需要进一步的研究来优化NMES协议,以最大限度地恢复功能并最大限度地减少ICU-AW.
- 对于其他神经疾病,包括脑和中风,NMES可能具有潜在的益处.
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