摘要
危重症患者肌肉受损机制主要包括微循环障碍、细胞与代谢变化、炎症、肌萎缩肌蛋白分解增加以及离子通道失活等。徒手肌力测定法是危重症患者肌力评定最常用的方法,其操作简便、经济成本低,但主观意识强,用来评估患者肌肉衰弱情况不准确,灵敏度低,不能用来评价远端肢体功能。神经电生理检测安全无创、简便、客观,但它需要专门的设备以及培训合格的专业人员,医疗成本高,耗时耗力,缺乏特异度。测力计法是一种简易、客观、方便和价廉的评定方法,在危重症患者中的应用具有较好的信度和效度,但其在国内的应用还并不广泛。
The mechanism of muscle damage in critically ill patients mainly includes microcirculation disorder,changes in cells and metabolism,inflammation,increased myoprotein breakdown in muscular atrophy,and inactivation of ion channels. Manual muscle testing is the most commonly used muscle strength measurement for critically ill patients,which is simple and economic,but subjective,being not accurate and sensitive in evaluating muscle weakness of patients and distal limb function.Neuroelectrophysiological testing is safe,non-invasive,simple and objective,but it requires specialized equipment and trained qualified professionals,high medical costs,time and effort consumption,and lack of specificity. Dynamometer is a simple,objective,convenient and inexpensive assessment method,which has a good reliability and validity in application in the critically ill patients,but it is not widespread in China.
作者
潘世琴
王丽
王玉宇
PAN Shi-qin;WANG Li;WANG Yu-yu(Qinghai Provincial People's Hospital,Xining,Qinghai 810008,China;School of Nursing,Medical College,Soochow University,Suzhou,Jiangsu 215006,China;First Affiliated Hospital of Soochow University,Suzhou,Jiangsu215006,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2019年第9期1052-1056,共5页
Chinese Journal of Rehabilitation Theory and Practice
关键词
危重症
肌力
评定方法
握力
拉力
critical illness
muscle strength
assessment method
handgrip
pull strength
