重症机械通气患者的早期活动_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

杜安琪 , 朱凤雪 , 李纾 ,  安友仲

北京大学人民医院重症医学科(北京 100044);

Corresponding author：

安友仲, Email: bjicu@163.com

Keywords：

DOI：

10.7507/1671-6205.2016121

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Citation： 杜安琪, 朱凤雪, 李纾, 安友仲. 重症机械通气患者的早期活动. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(5): 524-528. doi: 10.7507/1671-6205.2016121 Copy

1.	Dowdy DW, Eid MP, Sedrakyan A, et al. Quality of life in adult survivors of critical illness:a systematic review of the literature. Intensive Care Med, 2005, 31:611-620.
2.	Hofhuis JG, van Stel HF, Schrijvers AJ, et al. Health-related quality of life in critically ill patients:how to score and what is the clinical impact. Curr Opin Crit Care, 2009, 15:425-430.
3.	Orlava OE. Therapeutic physical culture in the complex treatment of pneumonia. Phys Ther Rev, 1959, 39:153-160.
4.	Dang SL. ABCDEs of ICU:early mobility. Crit Care Nurs Q, 2013, 36:163-168.
5.	Kayambu G, Boots R, Paratz J. Physical therapy for the critically ill in the ICU:a systematic review and meta-analysis. Crit Care Med, 2013, 41:1543-1554.
6.	Cameron S, Ball I, Cepinskas G, et al. Early mobilization in the critical care unit:a review of adult and pediatric literature. J Crit Care, 2015, 30:664-672.
7.	Sosnowski K, Lin F, Mitchell ML, et al. Early rehabilitation in the intensive care unit:an integrative literature review. Aust Crit Care, 2015, 28:216-225.
8.	Bailey P, Thomsen GE, Spuhler VJ, et al. Early activity is feasible and safe in respiratory failure patients. Crit Care Med, 2007, 35:139-145.
9.	Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients:a randomised controlled trial. Lancet, 2009, 373:1874-1882.
10.	Needham DM, Korupolu R, Zanni JM, et al. Early physical medicine and rehabilitation for patients with acute respiratory failure:a quality improvement project. Arch Phys Med Rehabil, 2010, 91:536-542.
11.	Hodgson CL, Berney S, Harrold M, et al. Clinical review:early patient mobilization in the ICU. Crit Care, 2013, 17:207.
12.	Ntoumenopoulos G. Rehabilitation during mechanical ventilation:review of the recent literature. Intensive Crit Care Nurs, 2015, 31:125-132.
13.	Berg HE, Larsson L, Tesch PA. Lower limb skeletal muscle function after 6 wk of bed rest. J Appl Physiol (1985), 1997, 82:182-188.
14.	Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med, 2015, 4:16.
15.	Fan E, Zanni JM, Dennison CR, et al. Critical illness neuromyopathy and muscle weakness in patients in the intensive care unit. AACN Adv Crit Care, 2009, 20:243-253.
16.	Puthucheary ZA, Rawal J, McPhail M, et al. Acute skeletal muscle wasting in critical illness. JAMA, 2013, 310:1591-1600.
17.	Kress JP, Hall JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med, 2014, 370:1626-1635.
18.	Ali NA, O'Brien JM Jr, Hoffmann SP, et al. Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Respir Crit Care Med, 2008, 178:261-268.
19.	Herridge MS, Tansey CM, Matte A, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med, 2011, 364:1293-1304.
20.	de Jonghe B, Lacherade JC, Sharshar T, et al. Intensive care unit-acquired weakness:risk factors and prevention. Crit Care Med, 2009, 37(10 Suppl):S309-315.
21.	Kortebein P, Ferrando A, Lombeida J, et al. Effect of 10 days of bed rest on skeletal muscle in healthy older adults. JAMA, 2007, 297:1772-1774.
22.	Stevenson EJ, Giresi PG, Koncarevic A, et al. Global analysis of gene expression patterns during disuse atrophy in rat skeletal muscle. J Physiol, 2003, 551:33-48.
23.	Bozza FA, Salluh JI, Japiassu AM, et al. Cytokine profiles as markers of disease severity in sepsis:a multiplex analysis. Crit Care, 2007, 11:R49.
24.	Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med, 2008, 36:2238-2243.
25.	Schweickert WD, Kress JP. Implementing early mobilization interventions in mechanically ventilated patients in the ICU. Chest, 2011, 140:1612-1617.
26.	Burtin C, Clerckx B, Robbeets C, et al. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med, 2009, 37:2499-2505.
27.	Bourdin G, Barbier J, Burle JF, et al. The feasibility of early physical activity in intensive care unit patients:a prospective observational one-center study. Respir Care, 2010, 55:400-407.
28.	Genc A, Ozyurek S, Koca U, et al. Respiratory and hemodynamic responses to mobilization of critically ill obese patients. Cardiopulm Phys Ther J, 2012, 23:14-18.
29.	Brummel NE, Girard TD, Ely EW, et al. Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients:the Activity and Cognitive Therapy in ICU (ACT-ICU) trial. Intensive Care Med, 2014, 40:370-379.
30.	Leditschke IA, Green M, Irvine J, et al. What are the barriers to mobilizing intensive care patients? Cardiopulm Phys Ther J, 2012, 23:26-29.
31.	Hodgson CL, Stiller K, Needham DM, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care, 2014, 18:658.
32.	Damluji A, Zanni JM, Mantheiy E, et al. Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit. J Crit Care, 2013, 28:535.e9-15.
33.	Sricharoenchai T, Parker AM, Zanni JM, et al. Safety of physical therapy interventions in critically ill patients:a single-center prospective evaluation of 1110 intensive care unit admissions. J Crit Care, 2014, 29:395-400.
34.	Hodgson C, Bellomo R, Berney S, et al. Early mobilization and recovery in mechanically ventilated patients in the ICU:a bi-national, multi-centre, prospective cohort study. Crit Care, 2015, 19:81.
35.	Titsworth WL, Hester J, Correia T, et al. The effect of increased mobility on morbidity in the neurointensive care unit. J Neurosurg, 2012, 116:1379-1388.
36.	Chen YH, Lin HL, Hsiao HF, et al. Effects of exercise training on pulmonary mechanics and functional status in patients with prolonged mechanical ventilation. Respir Care, 2012, 57:727-734.
37.	Knols RH, Aufdemkampe G, de Bruin ED, et al. Hand-held dynamometry in patients with haematological malignancies:measurement error in the clinical assessment of knee extension strength. BMC Musculoskelet Disord, 2009, 10:31.
38.	O'Shea SD, Taylor NF, Paratz JD. A predominantly home-based progressive resistance exercise program increases knee extensor strength in the short-term in people with chronic obstructive pulmonary disease:a randomised controlled trial. Aust J Physiother, 2007, 53:229-237.
39.	Hayot M, Michaud A, Koechlin C, et al. Skeletal muscle microbiopsy:a validation study of a minimally invasive technique. Eur Respir J, 2005, 25:431-440.
40.	Gruther W, Benesch T, Zorn C, et al. Muscle wasting in intensive care patients:ultrasound observation of the M. quadriceps femoris muscle layer. J Rehabil Med, 2008, 40:185-189.
41.	Needham DM, Truong AD, Fan E. Technology to enhance physical rehabilitation of critically ill patients. Crit Care Med, 2009, 37(10 Suppl):S436-441.
42.	Gomez-Cabrera MC, Domenech E, Vina J. Moderate exercise is an antioxidant:upregulation of antioxidant genes by training. Free Radic Biol Med, 2008, 44:126-131.
43.	Amidei C, Sole ML. Physiological responses to passive exercise in adults receiving mechanical ventilation. Am J Crit Care, 2013, 22:337-348.
44.	Patel BK, Pohlman AS, Hall JB, et al. Impact of early mobilization on glycemic control and ICU-acquired weakness in critically ill patients who are mechanically ventilated. Chest, 2014, 146:583-589.
45.	Hamburg NM, McMackin CJ, Huang AL, et al. Physical inactivity rapidly induces insulin resistance and microvascular dysfunction in healthy volunteers. Arterioscler Thromb Vasc Biol, 2007, 27:2650-2656.
46.	Denehy L, Skinner EH, Edbrooke L, et al. Exercise rehabilitation for patients with critical illness:a randomized controlled trial with 12 months of follow-up. Crit Care, 2013, 17:R156.
47.	Van der Schaaf M, Dettling DS, Beelen A, et al. Poor functional status immediately after discharge from an intensive care unit. Disabil Rehabil, 2008, 30:1812-1818.
48.	Montagnani G, Vagheggini G, Panait VE, et al. Use of the Functional Independence Measure in people for whom weaning from mechanical ventilation is difficult. Phys Ther, 2011, 91:1109-1115.
49.	Herridge MS, Angus DC. Acute lung injury——affecting many lives. N Engl J Med, 2005, 353:1736-1738.
50.	Walsh TS, Salisbury LG, Merriweather JL, et al. Increased Hospital-Based Physical Rehabilitation and Information Provision After Intensive Care Unit Discharge:The RECOVER Randomized Clinical Trial. JAMA Intern Med, 2015, 175:901-910.
51.	Thomsen GE, Snow GL, Rodriguez L, et al. Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority. Crit Care Med, 2008, 36:1119-1124.
52.	宋瑰琦, 秦玉荣, 方进, 等.重症监护病房患者非计划拔管相关性因素分析.上海护理, 2008, 8:40-41.
53.	Perme C, Chandrashekar R. Early mobility and walking program for patients in intensive care units:creating a standard of care. Am J Crit Care, 2009, 18:212-221.

1. Dowdy DW, Eid MP, Sedrakyan A, et al. Quality of life in adult survivors of critical illness:a systematic review of the literature. Intensive Care Med, 2005, 31:611-620.
2. Hofhuis JG, van Stel HF, Schrijvers AJ, et al. Health-related quality of life in critically ill patients:how to score and what is the clinical impact. Curr Opin Crit Care, 2009, 15:425-430.
3. Orlava OE. Therapeutic physical culture in the complex treatment of pneumonia. Phys Ther Rev, 1959, 39:153-160.
4. Dang SL. ABCDEs of ICU:early mobility. Crit Care Nurs Q, 2013, 36:163-168.
5. Kayambu G, Boots R, Paratz J. Physical therapy for the critically ill in the ICU:a systematic review and meta-analysis. Crit Care Med, 2013, 41:1543-1554.
6. Cameron S, Ball I, Cepinskas G, et al. Early mobilization in the critical care unit:a review of adult and pediatric literature. J Crit Care, 2015, 30:664-672.
7. Sosnowski K, Lin F, Mitchell ML, et al. Early rehabilitation in the intensive care unit:an integrative literature review. Aust Crit Care, 2015, 28:216-225.
8. Bailey P, Thomsen GE, Spuhler VJ, et al. Early activity is feasible and safe in respiratory failure patients. Crit Care Med, 2007, 35:139-145.
9. Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients:a randomised controlled trial. Lancet, 2009, 373:1874-1882.
10. Needham DM, Korupolu R, Zanni JM, et al. Early physical medicine and rehabilitation for patients with acute respiratory failure:a quality improvement project. Arch Phys Med Rehabil, 2010, 91:536-542.
11. Hodgson CL, Berney S, Harrold M, et al. Clinical review:early patient mobilization in the ICU. Crit Care, 2013, 17:207.
12. Ntoumenopoulos G. Rehabilitation during mechanical ventilation:review of the recent literature. Intensive Crit Care Nurs, 2015, 31:125-132.
13. Berg HE, Larsson L, Tesch PA. Lower limb skeletal muscle function after 6 wk of bed rest. J Appl Physiol (1985), 1997, 82:182-188.
14. Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med, 2015, 4:16.
15. Fan E, Zanni JM, Dennison CR, et al. Critical illness neuromyopathy and muscle weakness in patients in the intensive care unit. AACN Adv Crit Care, 2009, 20:243-253.
16. Puthucheary ZA, Rawal J, McPhail M, et al. Acute skeletal muscle wasting in critical illness. JAMA, 2013, 310:1591-1600.
17. Kress JP, Hall JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med, 2014, 370:1626-1635.
18. Ali NA, O'Brien JM Jr, Hoffmann SP, et al. Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Respir Crit Care Med, 2008, 178:261-268.
19. Herridge MS, Tansey CM, Matte A, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med, 2011, 364:1293-1304.
20. de Jonghe B, Lacherade JC, Sharshar T, et al. Intensive care unit-acquired weakness:risk factors and prevention. Crit Care Med, 2009, 37(10 Suppl):S309-315.
21. Kortebein P, Ferrando A, Lombeida J, et al. Effect of 10 days of bed rest on skeletal muscle in healthy older adults. JAMA, 2007, 297:1772-1774.
22. Stevenson EJ, Giresi PG, Koncarevic A, et al. Global analysis of gene expression patterns during disuse atrophy in rat skeletal muscle. J Physiol, 2003, 551:33-48.
23. Bozza FA, Salluh JI, Japiassu AM, et al. Cytokine profiles as markers of disease severity in sepsis:a multiplex analysis. Crit Care, 2007, 11:R49.
24. Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med, 2008, 36:2238-2243.
25. Schweickert WD, Kress JP. Implementing early mobilization interventions in mechanically ventilated patients in the ICU. Chest, 2011, 140:1612-1617.
26. Burtin C, Clerckx B, Robbeets C, et al. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med, 2009, 37:2499-2505.
27. Bourdin G, Barbier J, Burle JF, et al. The feasibility of early physical activity in intensive care unit patients:a prospective observational one-center study. Respir Care, 2010, 55:400-407.
28. Genc A, Ozyurek S, Koca U, et al. Respiratory and hemodynamic responses to mobilization of critically ill obese patients. Cardiopulm Phys Ther J, 2012, 23:14-18.
29. Brummel NE, Girard TD, Ely EW, et al. Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients:the Activity and Cognitive Therapy in ICU (ACT-ICU) trial. Intensive Care Med, 2014, 40:370-379.
30. Leditschke IA, Green M, Irvine J, et al. What are the barriers to mobilizing intensive care patients? Cardiopulm Phys Ther J, 2012, 23:26-29.
31. Hodgson CL, Stiller K, Needham DM, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care, 2014, 18:658.
32. Damluji A, Zanni JM, Mantheiy E, et al. Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit. J Crit Care, 2013, 28:535.e9-15.
33. Sricharoenchai T, Parker AM, Zanni JM, et al. Safety of physical therapy interventions in critically ill patients:a single-center prospective evaluation of 1110 intensive care unit admissions. J Crit Care, 2014, 29:395-400.
34. Hodgson C, Bellomo R, Berney S, et al. Early mobilization and recovery in mechanically ventilated patients in the ICU:a bi-national, multi-centre, prospective cohort study. Crit Care, 2015, 19:81.
35. Titsworth WL, Hester J, Correia T, et al. The effect of increased mobility on morbidity in the neurointensive care unit. J Neurosurg, 2012, 116:1379-1388.
36. Chen YH, Lin HL, Hsiao HF, et al. Effects of exercise training on pulmonary mechanics and functional status in patients with prolonged mechanical ventilation. Respir Care, 2012, 57:727-734.
37. Knols RH, Aufdemkampe G, de Bruin ED, et al. Hand-held dynamometry in patients with haematological malignancies:measurement error in the clinical assessment of knee extension strength. BMC Musculoskelet Disord, 2009, 10:31.
38. O'Shea SD, Taylor NF, Paratz JD. A predominantly home-based progressive resistance exercise program increases knee extensor strength in the short-term in people with chronic obstructive pulmonary disease:a randomised controlled trial. Aust J Physiother, 2007, 53:229-237.
39. Hayot M, Michaud A, Koechlin C, et al. Skeletal muscle microbiopsy:a validation study of a minimally invasive technique. Eur Respir J, 2005, 25:431-440.
40. Gruther W, Benesch T, Zorn C, et al. Muscle wasting in intensive care patients:ultrasound observation of the M. quadriceps femoris muscle layer. J Rehabil Med, 2008, 40:185-189.
41. Needham DM, Truong AD, Fan E. Technology to enhance physical rehabilitation of critically ill patients. Crit Care Med, 2009, 37(10 Suppl):S436-441.
42. Gomez-Cabrera MC, Domenech E, Vina J. Moderate exercise is an antioxidant:upregulation of antioxidant genes by training. Free Radic Biol Med, 2008, 44:126-131.
43. Amidei C, Sole ML. Physiological responses to passive exercise in adults receiving mechanical ventilation. Am J Crit Care, 2013, 22:337-348.
44. Patel BK, Pohlman AS, Hall JB, et al. Impact of early mobilization on glycemic control and ICU-acquired weakness in critically ill patients who are mechanically ventilated. Chest, 2014, 146:583-589.
45. Hamburg NM, McMackin CJ, Huang AL, et al. Physical inactivity rapidly induces insulin resistance and microvascular dysfunction in healthy volunteers. Arterioscler Thromb Vasc Biol, 2007, 27:2650-2656.
46. Denehy L, Skinner EH, Edbrooke L, et al. Exercise rehabilitation for patients with critical illness:a randomized controlled trial with 12 months of follow-up. Crit Care, 2013, 17:R156.
47. Van der Schaaf M, Dettling DS, Beelen A, et al. Poor functional status immediately after discharge from an intensive care unit. Disabil Rehabil, 2008, 30:1812-1818.
48. Montagnani G, Vagheggini G, Panait VE, et al. Use of the Functional Independence Measure in people for whom weaning from mechanical ventilation is difficult. Phys Ther, 2011, 91:1109-1115.
49. Herridge MS, Angus DC. Acute lung injury——affecting many lives. N Engl J Med, 2005, 353:1736-1738.
50. Walsh TS, Salisbury LG, Merriweather JL, et al. Increased Hospital-Based Physical Rehabilitation and Information Provision After Intensive Care Unit Discharge:The RECOVER Randomized Clinical Trial. JAMA Intern Med, 2015, 175:901-910.
51. Thomsen GE, Snow GL, Rodriguez L, et al. Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority. Crit Care Med, 2008, 36:1119-1124.
52. 宋瑰琦, 秦玉荣, 方进, 等.重症监护病房患者非计划拔管相关性因素分析.上海护理, 2008, 8:40-41.
53. Perme C, Chandrashekar R. Early mobility and walking program for patients in intensive care units:creating a standard of care. Am J Crit Care, 2009, 18:212-221.

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