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首页> 外文期刊>Intensive and critical care nursing >Critical illness polyneuromyopathy (CIPNM); rehabilitation during critical illness. Therapeutic options in nursing to promote recovery: a review of the literature.
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Critical illness polyneuromyopathy (CIPNM); rehabilitation during critical illness. Therapeutic options in nursing to promote recovery: a review of the literature.

机译：重症多发性神经病（CIPNM）;重病期间的康复。护理中促进康复的治疗选择：文献综述。

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摘要

Following critical illness requiring prolonged mechanical ventilation and sedation, intensive care patients often present with neuromuscular weakness. This results from critical illness polyneuropathy (CIP) and critical illness myopathy (CIM). A lack of diagnostic criteria for each syndrome complicates prevention and treatment. Consequently the term critical illness polyneuromyopathy (CIPNM) has emerged and is characterised by severe weakness, reduced or absent limb reflexes and marked muscle wasting. Although clinical trials report a high incidence of CIPNM, in clinical practice it often remains undetected. The pathophysiological mechanisms that lead to neuromuscular weakness are not entirely clear, however several risk factors have been identified and will be discussed. To date, there are no specific treatments or interventions available to reduce the onset or impact of CIPNM. This paper will review the strategies employed that are supportive and aimed at controlling the associated risk factors.
机译：重症疾病需要长期机械通气和镇静后，重症监护患者通常会出现神经肌肉无力。这是由严重疾病多发性神经病（CIP）和严重疾病肌病（CIM）引起的。缺乏每种综合征的诊断标准会使预防和治疗复杂化。因此，出现了严重疾病多发性神经病（CIPNM）一词，其特征是严重无力，肢体反射减少或不存在以及明显的肌肉消瘦。尽管临床试验报告CIPNM的发生率很高，但在临床实践中它经常未被发现。导致神经肌肉无力的病理生理机制尚不完全清楚，但是已经确定了一些危险因素并将进行讨论。迄今为止，尚无可减少CIPNM发作或影响的具体治疗方法或干预措施。本文将回顾支持和旨在控制相关风险因素的策略。

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