Case Report: Inspiratory muscle training in chronic critically ill patients - a report of two cases
Case Report: Inspiratory muscle training in chronic critically ill patients - a report of two cases
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DOI：
10.1002/pri.14
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发表时间：
2005-12-01
影响因子：
1.7
通讯作者：
Hodges, Paul
中科院分区：
文献类型：
--
作者：
Chang, Angela;Boots, Robert;Hodges, Paul
背景和目的尽管成功脱离机械通气，但长期机械通气后仍有吸气肌无力和疲劳的记录。本报告描述了应用吸气肌训练的两名患者成功出院后，从重症监护室（ICU）长期机械通气。方法.两名患者均接受了吸气肌训练和标准理疗康复。结果记录了每日两次吸气肌训练后吸气肌力量和耐力、运动耐量和功能表现的改善。在这两种情况下，最大吸气压（MIP）和最大耐受吸气负荷（MIP负荷）的改善被发现后的培训。结论这些积极的结果表明，需要进一步的研究，以调查吸气肌训练对呼吸功能，运动耐量和功能性能的影响，可能纳入吸气肌训练的物理治疗管理的患者后，长期机械通气。版权所有（C）2005约翰威利父子有限公司
Background and Purpose Inspiratory muscle weakness and fatigue has been documented following prolonged mechanical ventilation despite successful weaning from mechanical ventilation. This report describes the application of inspiratory muscle training in two patients following successful discharge from an intensive care unit (ICU) after prolonged mechanical ventilation. Methods. Both patients undertook inspiratory muscle training in conjunction with standard physiotherapy rehabilitation. Results. Improvements in inspiratory muscle strength and endurance, exercise tolerance and functional performance following twice-daily inspiratory muscle training were recorded. In both cases, an improvement in maximal inspiratory pressure (MIP) and maximal tolerated inspiratory load (MIP load) was found following training. Conclusion. These positive results indicate further research is needed to investigate the effect of inspiratory muscle training on respiratory function, exercise tolerance and functional performance, for the possible inclusion of inspiratory muscle training into the physiotherapy management of patients following prolonged mechanical ventilation. Copyright (C) 2005 John Wiley & Sons, Ltd.