Intensive care unit-acquired weakness(ICU-AW)is a prevalent issue in critical care,leading to significant muscle atrophy and functional impairment.Aiming to address this,Neuromuscular Electrical Stimulation(NMES)has b...Intensive care unit-acquired weakness(ICU-AW)is a prevalent issue in critical care,leading to significant muscle atrophy and functional impairment.Aiming to address this,Neuromuscular Electrical Stimulation(NMES)has been explored as a therapy.This systematic review assesses NMES's safety and effectiveness in enhancing functional capacity and mobility in pre-and post-cardiac surgery patients.NMES was generally safe and feasible,with intervention sessions varying in frequency and duration.Improvements in muscle strength and 6-minute walking test distances were observed,particularly in preoperative settings,but postoperative benefits were inconsistent.NMES showed promise in preventing muscle loss and improving strength,although its impact on overall functional capacity remained uncertain.Challenges such as short ICU stays and body composition affecting NMES efficacy were noted.NMES also holds potential for other conditions like cerebral palsy and stroke.Further research is needed to optimize NMES protocols and better understand its full benefits in preventing ICU-AW and improving patient outcomes.展开更多
目的探讨通督益脑化痰法结合针刺促进急性缺血性卒中吞咽障碍痰瘀阻络证患者康复效果。方法研究纳入112例急性缺血性卒中吞咽障碍痰瘀阻络证患者以随机数字表法纳入患者分为对照组(56例)、中医组(56例),给予对照组患者咽部肌肉电刺激治...目的探讨通督益脑化痰法结合针刺促进急性缺血性卒中吞咽障碍痰瘀阻络证患者康复效果。方法研究纳入112例急性缺血性卒中吞咽障碍痰瘀阻络证患者以随机数字表法纳入患者分为对照组(56例)、中医组(56例),给予对照组患者咽部肌肉电刺激治疗,给予中医组患者咽部肌肉电刺激结合通督益脑化痰法及针刺治疗,各组数据观察:治疗前后患者洼田饮水试验评分(water test score,WST)变化及功能性经口摄食量表(functional oral feeding scale,FOIS)评分变化、吞咽困难评价量表(dysphagia evaluation scale,VFSS)及标准吞咽功能评价量表(standard swallowing function evaluation scale,SSA)评分变化、治疗效果、并发症、治疗前后患者中医证候总积分及美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分变化、治疗,前后患者脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)及白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平变化、生活质量量表(generic quality of life inventory-74,GQOLI-74)评分变化。结果治疗前,各组患者WST评分、FOIS评分、VFSS评分、SSA评分、中医证候总积分以及NIHSS评分、BDNF、IL-6及TNF-α水平、GQOLI-74评分等指标比较,差异无统计学意义(P>0.05),治疗后各组患者WST评分、FOIS评分、VFSS评分、SSA评分、中医证候总积分以及NIHSS评分、BDNF、IL-6及TNF-α水平、GQOLI-74评分等指标均改善,中医组患者治疗后WST评分、FOIS评分、VFSS评分、SSA评分、中医证候总积分以及NIHSS评分、BDNF、IL-6及TNF-α水平、GQOLI-74评分等指标均优于对照组(P<0.05);中医组患者治疗总有效率高于对照组,并发症发生率低于对照组(均P<0.05)。结论通督益脑化痰法结合针刺疗法可较好促进急性缺血性卒中吞咽障碍痰瘀阻络证患者康复,患者治疗效果提升,吞咽功能及神经功能、生活质量均改善,且患者并发症率低,较为安全可靠,值得应用。展开更多
文摘Intensive care unit-acquired weakness(ICU-AW)is a prevalent issue in critical care,leading to significant muscle atrophy and functional impairment.Aiming to address this,Neuromuscular Electrical Stimulation(NMES)has been explored as a therapy.This systematic review assesses NMES's safety and effectiveness in enhancing functional capacity and mobility in pre-and post-cardiac surgery patients.NMES was generally safe and feasible,with intervention sessions varying in frequency and duration.Improvements in muscle strength and 6-minute walking test distances were observed,particularly in preoperative settings,but postoperative benefits were inconsistent.NMES showed promise in preventing muscle loss and improving strength,although its impact on overall functional capacity remained uncertain.Challenges such as short ICU stays and body composition affecting NMES efficacy were noted.NMES also holds potential for other conditions like cerebral palsy and stroke.Further research is needed to optimize NMES protocols and better understand its full benefits in preventing ICU-AW and improving patient outcomes.
文摘目的探讨通督益脑化痰法结合针刺促进急性缺血性卒中吞咽障碍痰瘀阻络证患者康复效果。方法研究纳入112例急性缺血性卒中吞咽障碍痰瘀阻络证患者以随机数字表法纳入患者分为对照组(56例)、中医组(56例),给予对照组患者咽部肌肉电刺激治疗,给予中医组患者咽部肌肉电刺激结合通督益脑化痰法及针刺治疗,各组数据观察:治疗前后患者洼田饮水试验评分(water test score,WST)变化及功能性经口摄食量表(functional oral feeding scale,FOIS)评分变化、吞咽困难评价量表(dysphagia evaluation scale,VFSS)及标准吞咽功能评价量表(standard swallowing function evaluation scale,SSA)评分变化、治疗效果、并发症、治疗前后患者中医证候总积分及美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分变化、治疗,前后患者脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)及白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平变化、生活质量量表(generic quality of life inventory-74,GQOLI-74)评分变化。结果治疗前,各组患者WST评分、FOIS评分、VFSS评分、SSA评分、中医证候总积分以及NIHSS评分、BDNF、IL-6及TNF-α水平、GQOLI-74评分等指标比较,差异无统计学意义(P>0.05),治疗后各组患者WST评分、FOIS评分、VFSS评分、SSA评分、中医证候总积分以及NIHSS评分、BDNF、IL-6及TNF-α水平、GQOLI-74评分等指标均改善,中医组患者治疗后WST评分、FOIS评分、VFSS评分、SSA评分、中医证候总积分以及NIHSS评分、BDNF、IL-6及TNF-α水平、GQOLI-74评分等指标均优于对照组(P<0.05);中医组患者治疗总有效率高于对照组,并发症发生率低于对照组(均P<0.05)。结论通督益脑化痰法结合针刺疗法可较好促进急性缺血性卒中吞咽障碍痰瘀阻络证患者康复,患者治疗效果提升,吞咽功能及神经功能、生活质量均改善,且患者并发症率低,较为安全可靠,值得应用。
