摘要
呼吸系统危重症是重症监护病房(ICU)的主要疾病群,气道阻塞、呼吸肌无力、肺实变和咳嗽能力下降等可加重基础病理学损伤、增加死亡风险,而危重症存活者所遗留的重症监护后综合征(PICS)不仅影响功能障碍,而且导致参与学校和社会活动困难以及生活质量下降。ICU内实施早期可动化的实践指南和物理疗法的管理建议,可以明显降低病死率、促进疾病恢复、减少ICU和总住院时间、预防和减轻PICS、改善生活质量。成人各种呼吸系统危重症的康复治疗发展迅速,但在儿科此方面的临床研究和经验有限,需要儿科ICU工作者、患儿和家庭成员改变观念,提高对呼吸重症康复的认知度,探讨适合于儿科呼吸系统重症康复的安全、有效性优选方案。
Respiratory critical disease is common in ICU.Airway obstruction,inspiratory muscle weakness and decreased coughing ability can aggravate the basic pathological injury and increase the risk of death. Survivors with post-intensive care syndrome（PICS）not only affects dysfunction,and lead to a difficult participation in school and social activities as well as lower quality of life. ICU Practice guidelines of the early mobilization and physical therapy management advice can significantly reduce the mortality rate,promote disease recovery,reduce the ICU and total length of hospital stay,and prevent and reduce the PICS,which improves the quality of life. Various respiratory critical rehabilitation techniques in adults has developed rapidly,but it is limited in pediatric clinical research and experience. Pediatric ICU workers,children and family members need to change ideas and improve the awareness of early rehabilitation. It＇s importent to explore the safe and effective optimization rehabilitation plan suitable for pediatric respiratory critical diseases.
作者
侯梅
孙殿荣
金国圣
HOU Mei;SUN Dian-rong;JIN Guo-sheng(Department of Rehabilitation,Qingdao Women ＆ Children＇s Hospital,Qingdao 266034,China)
出处
《中国实用儿科杂志》
CSCD
北大核心
2018年第8期578-583,共6页
Chinese Journal of Practical Pediatrics
关键词
呼吸系统危重症
重症监护后综合征
早期可动性
胸肺物理治疗
康复
气道廓清技术
respiratory critical disease
post-intensive care syndrome （PICS）
early mobilization
chest physical therapy
rehabilitation
airway clearance therapy （ACT）
