Therapeutic effect of early neuromuscular electrical stimulation combined with self-made rehabilitation bed chair on ICU-acquired weakness in mechanically ventilated patients(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2023年第2期
- Page:
- 220-225
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Therapeutic effect of early neuromuscular electrical stimulation combined with self-made rehabilitation bed chair on ICU-acquired weakness in mechanically ventilated patients
- Author(s):
- ZHUANG Yuee; HUANG Ling; CAI Jingjing; LI Huangen
- Intensive Care Unit, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China
- Keywords:
- Keywords: early neuromuscular electrical stimulation self-made rehabilitation bed chair mechanical ventilation intensive care unit acquired weakness
- PACS:
- R49
- DOI:
- DOI:10.3969/j.issn.1005-202X.2023.02.016
- Abstract:
- Abstract: Objective To analyze the effect of early neuromuscular electrical stimulation (NMES) combined with self-made rehabilitation bed chair to treat intensive care unit-acquired weakness (ICU-AW) in mechanically ventilated patients. Methods A total of 100 mechanically ventilated ICU-AW patients treated in the Intensive Care Unit, Quanzhou First Hospital Affiliated to Fujian Medical University from July 2019 to December 2021 were enrolled in the study. The ICU-AW patients who underwent mechanical ventilation from July 2019 to August 2020 were classified into control group (n=50) for routine rehabilitation nursing combined with NMES, and besides those treatment of control group, rehabilitation bed chair was adopted for those in study group (n=50) who were treated with mechanical ventilation from September 2020 to December 2021. During the treatment, the Medical Research Council (MRC) score, ICU-AW prevalence rate, duration of mechanical ventilation, lengths of ICU stay and hospital stay, blood rheological parameters and nursing satisfaction were recorded. Results The total MRC score, upper and lower extremity MRC scores of control group on the 5th and 10th days were significantly lower than those on the 1st day (P<0.05), while in study group, until day 10, the above scores were lower than those on the 1st day (P<0.05). On the 1st day, there was no statistical difference between two groups in total MRC score, upper and lower extremity MRC scores, ICU-AW prevalence rate and incidence of ICU delirium (P>0.05). However, on days 5 and 10, compared with control group, study group had significantly higher total MRC score, upper and lower limb scores, and lower incidences of ICU-AW and ICU delirium (P<0.05). On day 10, the high-shear viscosity, plasma viscosity, whole blood low-shear viscosity and EA in two groups were significantly decreased (P<0.05), and those in study group were significantly lower than those in control group (P<0.05). The duration of mechanical ventilation, time to the first out-of-bed, ICU stay, and total hospital stay were shorter in study group than control group (P<0.05). At discharge, the satisfactions with nursing in study group and control group were 96.00% and 80.00% (P<0.05). Conclusion NMES combined with self-made rehabilitation bed chair to intervene ICU-AW patients in mechanical ventilation is worthy of clinical promotion for it can effectively improve MRC score and muscle strength, reduce the prevalence of ICU-AW and the incidence of ICU delirium, shorten the duration of mechanical ventilation, time to the first out-of-bed, ICU stay and hospital stay, and improve blood rheological parameters and satisfaction degree.
Last Update: 2023-03-03