循环人体表在体外膜氧化患者康复中的循环人体表:范围审查
Pedro Rodrigues1, Pedro Alçada Guimarães1, Luis Migues Ferreira2
1São João University Hospital Center (CHUSJ), Porto, Portugal.
概括
这次审查发现,循环人体表在康复中对体外膜氧化 (ECMO) 患者的使用不同. 有证据表明,循环人体表的使用是安全的,经常被整合到多式模式康复策略中.
科学领域:
- 心血管康复心血管康复
- 关键护理医学 关键护理医学
- 运动生理学 运动生理学
背景情况:
- 身体外膜氧化 (ECMO) 是严重呼吸和心力衰竭的生命支持措施.
- 康复对于从重症中康复的患者至关重要,包括那些接受ECMO治疗的人.
- 在ECMO患者康复中,特定的运动方式,如循环人体工程学的作用需要澄清.
研究的目的:
- 在成年ECMO患者康复中对循环人体表的使用进行现有证据的范围审查.
- 在ECMO恢复过程中识别循环人体工程学的实施模式和变化.
- 评估循环人体表仪的安全性和整合在更广泛的康复计划.
主要方法:
- 遵守乔安娜·布里格斯研究所关于范围审查的指导方针.
- 系统性审查和元分析的使用优先报告项目扩展范围审查 (PRISMA-ScR) 检查清单.
- 在主要数据库 (MEDLINE,CINAHL,Embase,Web of Science,Cochrane Library) 中进行全面的文献搜索,没有日期限制.
主要成果:
- 十六项研究符合审查的纳入标准.
- 在循环人体表使用的时间和整合方面观察到显著的异质性.
- 循环人体运动计经常是综合性多模式康复计划的一部分.
结论:
- 在ECMO康复中使用循环人体运动计的应用显示出相当大的变化.
- 没有报告任何显著的不良影响,表明安全实施.
- 进一步标准化可能会提高循环人体力学在这个患者群体中的有效性.
相关概念视频
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01:23Physiological Control of Respiration
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