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A review of the efficacy of neuromuscular electrical stimulation in critically ill patients

机译：神经肌肉电刺激在危重病人中的疗效综述

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Background: Muscle wasting in critical illness has been identified as a major clinical concern which can lead to persistent muscle weakness, impede recovery and limit physical function and quality of life in survivors. Neuromuscular electrical stimulation (NMES) has been suggested as an alternative to active exercise in critically ill patients. Objectives: To evaluate the efficacy of NMES in critically ill patients by evaluating the research literature. Methods: Structured database searches of the Cochrane Library, Ovid (Medline), CINHAL, Scopus and PEDro were completed. Results: Eight papers were retrieved and methodological quality evaluated using the Critical Appraisal and Skills Program tool. The NMES protocols, outcomes and findings were analysed and, given the methodological heterogeneity, the study findings were synthesised as a narrative. Analysis showed minimal adverse effects in the use of NMES and some potential benefits of NMES on preservation of muscle strength, decreased duration of mechanical ventilation and shorter Intensive Care Unit (ICU) length of stay. Conclusions: Evidence of the clinical benefits of NMES in the ICU is inconclusive and provides minimal guidance for use in clinical practice. There is a need for further research in this area.
机译：背景：严重疾病中的肌肉浪费已被确定为主要的临床问题，它可能导致持续的肌肉无力，阻碍恢复并限制幸存者的身体功能和生活质量。在重症患者中，神经肌肉电刺激（NMES）已被建议作为主动锻炼的替代方法。目的：通过评估研究文献来评估NMES在危重患者中的疗效。方法：完成对Cochrane库，Ovid（Medline），CINHAL，Scopus和PEDro的结构化数据库搜索。结果：检索了八篇论文，并使用关键评估和技能计划工具评估了方法学质量。分析了NMES方案，结果和发现，并鉴于方法的异质性，将研究结果作为叙述进行了综合。分析表明，使用NMES的不良影响极小，并且NMES在保持肌肉力量，缩短机械通气时间和缩短重症监护病房（ICU）住院时间方面具有一些潜在好处。结论：NCU在ICU中具有临床益处的证据尚无定论，并为临床实践提供了最小指导。在这一领域需要进一步的研究。

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