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首页> 外文期刊>Journal of Clinical Medicine Research >Inspiratory Muscle Training in the Intensive Care Unit: A New Perspective
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Inspiratory Muscle Training in the Intensive Care Unit: A New Perspective

机译:重症监护室吸气肌肉训练的新视角

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Background: Prolonged use of mechanical ventilation (MV) leads to weakening of the respiratory muscles, especially in patients subjected to sedation, but this effect seems to be preventable or more quickly reversible using respiratory muscle training. The aims of the study were to assess variations in respiratory and hemodinamic parameters with electronic inspiratory muscle training (EIMT) in tracheostomized patients requiring MV and to compare these variations with those in a group of patients subjected to an intermittent nebulization program (INP).Methods: This was a pilot, prospective, randomized study of tracheostomized patients requiring MV in one intensive care unit (ICU). Twenty-one patients were randomized: 11 into the INP group and 10 into the EIMT group. Two patients were excluded in experimental group because of hemodynamic instability.Results: In the EIMT group, maximal inspiratory pressure (MIP) after training was significantly higher than that before (P = 0.017), there were no hemodynamic changes, and the total weaning time was shorter than in the INP group (P = 0.0192).Conclusion: The EIMT device is safe, promotes an increase in MIP, and leads to a shorter ventilator weaning time than that seen in patients treated using INP.J Clin Med Res. 2017;9(11):929-934doi: https://doi.org/10.14740/jocmr3169w
机译:背景:长时间使用机械通气(MV)会导致呼吸肌无力,特别是在进行镇静的患者中,但是使用呼吸肌训练似乎可以预防这种病,或更迅速地逆转这种作用。该研究的目的是通过气管切开术需要MV的电子吸气肌肉训练(EIMT)评估呼吸和血液动力学参数的变化,并将这些变化与接受间歇性雾化程序(INP)的一组患者的变化进行比较。 :这是一项在一项重症监护病房(ICU)中对需要MV的气管切开术患者进行的一项前瞻性,前瞻性,随机研究。 21名患者被随机分配:INP组11名,EIMT组10名。结果:实验组中有2例患者因血流动力学不稳定而被排除在实验组之外。结果:EIMT组中,训练后的最大吸气压力(MIP)显着高于之前(P = 0.017),无血流动力学变化,总的断奶时间结论:与使用INP治疗的患者相比,EIMT设备安全,可促进MIP升高并缩短了呼吸机的断奶时间。结论:EIMT设备安全,可促进MIP的提高。 2017; 9(11):929-934doi:https://doi.org/10.14740/jocmr3169w

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