神经肌肉电刺激对ICU机械通气病人影响的Meta分析
张桂宁
杨丽
郭明娟
黄德斌
郑燕梅
陈卓
1.广西医科大学第一附属医院, 5300212.广西医科大学第一附属医院, 5300213.广西医科大学第一附属医院, 5300214.广西医科大学第一附属医院, 5300215.广西医科大学第一附属医院, 5300216.广西医科大学第一附属医院, 530021
摘要：Objective:To systematically evaluate the influence of neuromuscular electrical stimulation (NMES) on mechanical ventilation in intensive care unit (ICU) patients.Methods:Randomized controlled trials for patients with ICU mechanical ventilation receiving NMES were in PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Physiotherapy Evidence Database (PEDro), Chinese biomedical literature Database (CBMdisc), CNKI, VIP and Wanfang databases.Meta analysis was performed by RevMan 5.3 software after data extraction and quality evaluation.Results:A total of 5 randomized controlled trials were included and Meta analysis results showed that compared with the conventional nursing, NMES strength in strengthen ICU mechanical ventilation patients[MD=1.14, 95％ CI (-0.32, 2.61), P=0.13) ], hand grip strength[MD=2.20, 95％ CI (-6.32, 10.73), P=0.61) ], and shorten the time of mechanical ventilation[MD=-1.35, 95％ CI (-3.04, 0.34), P=0.12) ]and ICU stay time[MD=-4.68, 95％CI (-9.41, 0.05), P=0.05].There were no significant advantages in, reduction of ICU mortality[RR=1.10, 95％ CI (0.49, 2.45), P=0.82], and probability of successful escape[RR=1.14, 95％ CI (0.90, 1.46), P=0.28], and the combined effect was not statistically significant (P＞0.05).Conclusions:NMES had no significant effect on muscle strength, hand grip strength, mechanical ventilation time, ICU duration of stay, and ICU mortality of ICU patients undergoing mechanical ventilation.In the future, large sample, high-quality, multi-center randomized controlled experiments were needed to verify the research results.
关键词：神经肌肉电刺激重症监护室机械通气ICU获得性衰弱Meta分析
分类号：R47(护理学)
资助基金：开发课题(S201413-02)广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016351)
论文发表日期：2019-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 187-194 )
英文信息