呼气肌训练是否会影响呼吸重症监护病人的呼气肌厚度? 一项试点随机对照研究
Reyhan Kaygusuz Benli1, Barış Yılmaz2, S Ufuk Yurdalan3
1Demiroglu Bilim University, Health Science Faculty, Department of Physiotherapy and Rehabilitation, Turkey.
启发性肌肉训练 (IMT) 改善了呼吸道肌肉强度和腹壁厚度在重症监护室的重症监护室患者. 这表明IMT可能有助于将患者从机械通风中解脱出来.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 康复 康复 康复 康复
背景情况:
- 重症监护室 (ICU) 的患者经常经历呼吸道肌肉衰弱.
- 腹肌功能对于有效的呼吸和通风至关重要.
- 超声波是评估呼吸道肌肉厚度和功能的宝贵工具.
研究的目的:
- 为了比较ICU患者和健康个体的腹肌厚度.
- 评估启发性肌肉训练 (IMT) 对呼气肌肉强度和腹壁厚度的影响.
- 评估IMT与常规物理疗法 (CP) 结合在术后患者中的有效性.
主要方法:
- 一个单盲随机对照试验,涉及20名术后ICU患者和10名健康对照.
- 患者被分配到传统物理治疗 (CP) 或IMT + CP组,持续5天.
- 超声波测量腹肌厚度 (EOA,IOA,TRA,RA);MIP和MEP被记录.
主要成果:
- 健康对照组表现出较高的基线MIP,MEP和RA肌肉厚度.
- 两组都在干预后改善了MIP;只有IMT组显示了MEP,IOA和RA厚度的显著增加.
- 与CP组相比,IMT组在MIP,MEP,IOA和RA厚度方面表现出明显的改善.
结论:
- 输出管后的IMT可以增强呼吸和呼吸肌肉的强度和腹壁厚度.
- IMT显示有潜力促进危急病患者的断奶过程.
- 需要进行更大规模的研究来证实这些发现并优化IMT协议.
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