护理研究2019，Vol.33Issue(2)：187-194,8.DOI:10.12102/j.issn.1009-6493.2019.02.002
神经肌肉电刺激对ICU机械通气病人影响的Meta分析
Influence of neuromuscular electrical stimulation on mechanical ventilation in ICU patients:a Meta-analysis
摘要
Abstract
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Key words
neuromuscular electrical stimulation/intensive care unit/mechanical ventilation/ICU-acquired weakness/Meta analysis分类
医药卫生引用本文复制引用
张桂宁,杨丽,郭明娟,黄德斌,郑燕梅,陈卓..神经肌肉电刺激对ICU机械通气病人影响的Meta分析[J].护理研究,2019,33(2):187-194,8.基金项目
广西医疗卫生适宜技术研究与开发课题,编号: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,编号:Z2016351 （）
