心肺康复治疗对撤机的帮助_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

倪越男 ¹ , 梁国鹏 ² , 徐静 ¹ ,  梁宗安 ¹

1. ;
2. ;

Corresponding author：

梁宗安, Email: liang.zongan@163.com

Keywords：

DOI：

10.7507/1671-6205.2016100

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Citation： 倪越男, 梁国鹏, 徐静, 梁宗安. 心肺康复治疗对撤机的帮助. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(4): 421-424. doi: 10.7507/1671-6205.2016100 Copy

1.	MacIntyre NR,Cook DJ,Ely EW,et al.Evidence-based guidelines for weaning and discontinuing ventilator support:a collective task force facilitated by the American College of Chest Physicians,the American Association for Respiratory Care,and the American College of Critical Care Medicine.Chest,2001,120:375S-395S.
2.	Tobin M.Medical progress:advances in mechanical ventilation.N Engl J Med,2001,344:1986-1996.
3.	Boles JM,Bion J,Connors A,et al.Weaning from mechanicalventilation.Statement of the Sixth International Consensus Conference on Intensive Care Medicine.Eur Respir J,2007,29:1033-1056.
4.	Vallverdu I,Calaf N,Subirana M,et al.Clinical characteristics,respiratory functional parameters,and outcome of a two-hour T-piece trial in patients weaning from mechanical ventilation.Am J Respir Crit Care Med,1998,158:1855-1862.
5.	Esteban A,Alia I,Tobin MJ,et al.Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation.Am J Respir Crit Care Med,1999,159:512-518.
6.	Jubran A,Lawm G,Kelly J,et al.Depressive disorders during weaning from prolonged mechanical ventilation.Intensive Care Med,2010,36:828-835.
7.	Sassoon CSH.Noninvasive positive-pressure ventilation in acute respiratory failure:review of reported experience with special attention to use during weaning.Respir Care,1995,40:282-288.
8.	Hetland B,Lindquist R,Chlan LL.The influence of music during mechanicalventilation and weaning from mechanical ventilation:A review. Heart Lung,2015,44:416-425.
9.	Aghaie B,Rejeh N,Heravi-Karimooi M,et al.Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation:a randomised clinical trial.Int J Nurs Stud,2014,51:526-538.
10.	Hunter BC,Oliva R,Sahler OJ,et al.Music therapy as an adjunctive treatment in the management of stress for patients being weaned from mechanical ventilation.J Music Ther,2010,47:198-219.
11.	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.
12.	Clement JM,Buck EA.Weaning from mechanical ventilatory support.Dimens Crit Care Nurs,1996,15:114-129.
13.	MacIntyre NR.Psychological factors in weaning from mechanical ventilatory support.Respir Care,1995,40:277-281.
14.	Caille V,Amiel JB,Charron C,et al.Echocardiography:a help in the weaning process? Crit Care,2010,14:R120.
15.	Grothusen C,Attmann T,Friedrich C,et al.Predictors for long-term outcome and quality of life of patients after cardiac surgery with prolonged intensive care unit stay.Interv Med Appl Sci,2013,5:3-9.
16.	Zhang YM,Lu Y,Tang Y,Yang D,et al.The effects of different initiation time of exercise training on left ventricular remodeling and cardiopulmonary rehabilitation in patients with left ventricular dysfunction after myocardial infarction.Disabil Rehabil,2015,7:1-9.
17.	Upadya A,Ogbata S,Muralidharan V,et al.Cumulative fluid balance affects weaning outcomes.Am J Respir Crit Care Med,2003,167:A301.
18.	Epstein CD,Peerless JR.Weaning readiness and fluid balance in older critically ill surgical patients.Am J Crit Care,2006,15:54-64.
19.	Rialp G,Raurich JM,Llompart-Pou JA,et al.Central respiratory drive in patients with neuromuscular diseases.Respir Care,2013,58:450-457.
20.	Kress JP,Pohlman AS,O'Connor MF,et al.Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation.N Engl J Med,2000,342:1471-1477.
21.	Girard TD,Kress JP,Fuchs BD,et al.Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial):a randomised controlled trial.Lancet,2008,371:126-134.
22.	Mehta S,Burry L,Martinez-Motta JC,et al.A randomized trial of daily awakening in critically ill patients managed with a sedation protocol:a pilot trial.Crit Care Med,2008,36:2092-2099.
23.	Schweickert WD,Gehlbach BK,Pohlman AS,et al.Daily interruption of sedative infusions and complications of critical illness in mechanically ventilated patients.Crit Care Med,2004,32:1272-1276.
24.	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.
25.	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,2008,78:261-268.
26.	Purro A,Appendini L,De Gaetano A,et al.Physiologic determinant of ventilator dependence in long-term mechanically ventilated patients.Am J Respir Crit Care Med,2000,161:1115-1123.
27.	Bissett B,Leditschke IA.Inspiratory muscle training to enhance weaning from mechanical ventilation.Anaesth Intensive Care,2007,35:776-779.
28.	Levine S,Nguyen T,Taylor N,et al.Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans.N Engl J Med,2008,358:1327-1335.
29.	Abelson H,Brewer K.Inspiratory muscle training in the mechanically ventilated patient.Physiother Canada,1987,39:305-307.
30.	Aldrich TK,Karpel JP,Uhrlass RM,et al.Weaning from mechanical ventilation:adjunctive use of inspiratory muscle resistive training.Crit Care Med,1989,17:143-147.
31.	Martin AD,Smith BK,Davenport PD,et al.Inspiratory muscle strength training improves weaning outcome in failure to wean patients:a randomized trial.Crit Care,2011,15:R84.
32.	Tobin MJ,Laghi F,Jubran A.Narrative review:ventilator-induced respiratory muscle weakness.Ann Intern Med,2010,153:240-245.
33.	Mehta S,Burry L,Meade M,et al.Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol:a randomized controlled trial.JAMA,2012,308:1985-1992.
34.	Canbaz S,Turgut N,Halici U,et al.Electrophysiological evaluation of phrenic nerve injury during cardiac surgery-a prospective,controlled,clinical study.BMC Surg,2004,4:2.
35.	Kodric M,Trevisan R,Torregiani C,et al.Inspiratory muscle training for diaphragm dysfunction after cardiac surgery.J Thorac Cardiovasc Surg,2013,145:819-823.
36.	Lapin CD.Airway physiology,autogenic drainage,and active cycle of breathing.Respir Care,2002,47:778.
37.	Haas CS,Loik PS,Gay SE.Airway clearance applications in the elderly and in patients with neurologic or neuromuscular compromise.Respir Care,2007,52:1362.
38.	Vassilakopoulos T,Zakynthinos S,Roussos C.The tension-time index and the frequency/tidal volume ratio are the major pathophysiologic determinants of weaning failure and success.Am J Respir Crit Care Med,1998,158:378-385.
39.	Guérin C,Reignier J,Richard JC,et al.Prone positioning in severe acute respiratory distress syndrome.N Engl J Med,2013,368:2159-2168.
40.	Pattanshetty RB,Gaude GS.Effect of multimodality chest physiotherapy on the rate of recovery and prevention of complications in patients with mechanical ventilation:a prospective study in medical and surgical intensive care units.Indian J Med Sci,2011,65:175-185.
41.	Castro AA,Calil SR,Freitas SA,et al.Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay,pulmonary infection rate and mortality in ICU patients.Respir Med,2013,107:68-74.
42.	Punithavathi N,Ong L,Sivasangari S,et al.A pilot randomized control cross over study evaluating the effectiveness and safety of mechanical percussor compared with conventional chest physiotherapy in adults with productive cough.Med J Malaysia,2014,69:16-20.

1. MacIntyre NR,Cook DJ,Ely EW,et al.Evidence-based guidelines for weaning and discontinuing ventilator support:a collective task force facilitated by the American College of Chest Physicians,the American Association for Respiratory Care,and the American College of Critical Care Medicine.Chest,2001,120:375S-395S.
2. Tobin M.Medical progress:advances in mechanical ventilation.N Engl J Med,2001,344:1986-1996.
3. Boles JM,Bion J,Connors A,et al.Weaning from mechanicalventilation.Statement of the Sixth International Consensus Conference on Intensive Care Medicine.Eur Respir J,2007,29:1033-1056.
4. Vallverdu I,Calaf N,Subirana M,et al.Clinical characteristics,respiratory functional parameters,and outcome of a two-hour T-piece trial in patients weaning from mechanical ventilation.Am J Respir Crit Care Med,1998,158:1855-1862.
5. Esteban A,Alia I,Tobin MJ,et al.Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation.Am J Respir Crit Care Med,1999,159:512-518.
6. Jubran A,Lawm G,Kelly J,et al.Depressive disorders during weaning from prolonged mechanical ventilation.Intensive Care Med,2010,36:828-835.
7. Sassoon CSH.Noninvasive positive-pressure ventilation in acute respiratory failure:review of reported experience with special attention to use during weaning.Respir Care,1995,40:282-288.
8. Hetland B,Lindquist R,Chlan LL.The influence of music during mechanicalventilation and weaning from mechanical ventilation:A review. Heart Lung,2015,44:416-425.
9. Aghaie B,Rejeh N,Heravi-Karimooi M,et al.Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation:a randomised clinical trial.Int J Nurs Stud,2014,51:526-538.
10. Hunter BC,Oliva R,Sahler OJ,et al.Music therapy as an adjunctive treatment in the management of stress for patients being weaned from mechanical ventilation.J Music Ther,2010,47:198-219.
11. 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.
12. Clement JM,Buck EA.Weaning from mechanical ventilatory support.Dimens Crit Care Nurs,1996,15:114-129.
13. MacIntyre NR.Psychological factors in weaning from mechanical ventilatory support.Respir Care,1995,40:277-281.
14. Caille V,Amiel JB,Charron C,et al.Echocardiography:a help in the weaning process? Crit Care,2010,14:R120.
15. Grothusen C,Attmann T,Friedrich C,et al.Predictors for long-term outcome and quality of life of patients after cardiac surgery with prolonged intensive care unit stay.Interv Med Appl Sci,2013,5:3-9.
16. Zhang YM,Lu Y,Tang Y,Yang D,et al.The effects of different initiation time of exercise training on left ventricular remodeling and cardiopulmonary rehabilitation in patients with left ventricular dysfunction after myocardial infarction.Disabil Rehabil,2015,7:1-9.
17. Upadya A,Ogbata S,Muralidharan V,et al.Cumulative fluid balance affects weaning outcomes.Am J Respir Crit Care Med,2003,167:A301.
18. Epstein CD,Peerless JR.Weaning readiness and fluid balance in older critically ill surgical patients.Am J Crit Care,2006,15:54-64.
19. Rialp G,Raurich JM,Llompart-Pou JA,et al.Central respiratory drive in patients with neuromuscular diseases.Respir Care,2013,58:450-457.
20. Kress JP,Pohlman AS,O'Connor MF,et al.Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation.N Engl J Med,2000,342:1471-1477.
21. Girard TD,Kress JP,Fuchs BD,et al.Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial):a randomised controlled trial.Lancet,2008,371:126-134.
22. Mehta S,Burry L,Martinez-Motta JC,et al.A randomized trial of daily awakening in critically ill patients managed with a sedation protocol:a pilot trial.Crit Care Med,2008,36:2092-2099.
23. Schweickert WD,Gehlbach BK,Pohlman AS,et al.Daily interruption of sedative infusions and complications of critical illness in mechanically ventilated patients.Crit Care Med,2004,32:1272-1276.
24. 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.
25. 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,2008,78:261-268.
26. Purro A,Appendini L,De Gaetano A,et al.Physiologic determinant of ventilator dependence in long-term mechanically ventilated patients.Am J Respir Crit Care Med,2000,161:1115-1123.
27. Bissett B,Leditschke IA.Inspiratory muscle training to enhance weaning from mechanical ventilation.Anaesth Intensive Care,2007,35:776-779.
28. Levine S,Nguyen T,Taylor N,et al.Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans.N Engl J Med,2008,358:1327-1335.
29. Abelson H,Brewer K.Inspiratory muscle training in the mechanically ventilated patient.Physiother Canada,1987,39:305-307.
30. Aldrich TK,Karpel JP,Uhrlass RM,et al.Weaning from mechanical ventilation:adjunctive use of inspiratory muscle resistive training.Crit Care Med,1989,17:143-147.
31. Martin AD,Smith BK,Davenport PD,et al.Inspiratory muscle strength training improves weaning outcome in failure to wean patients:a randomized trial.Crit Care,2011,15:R84.
32. Tobin MJ,Laghi F,Jubran A.Narrative review:ventilator-induced respiratory muscle weakness.Ann Intern Med,2010,153:240-245.
33. Mehta S,Burry L,Meade M,et al.Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol:a randomized controlled trial.JAMA,2012,308:1985-1992.
34. Canbaz S,Turgut N,Halici U,et al.Electrophysiological evaluation of phrenic nerve injury during cardiac surgery-a prospective,controlled,clinical study.BMC Surg,2004,4:2.
35. Kodric M,Trevisan R,Torregiani C,et al.Inspiratory muscle training for diaphragm dysfunction after cardiac surgery.J Thorac Cardiovasc Surg,2013,145:819-823.
36. Lapin CD.Airway physiology,autogenic drainage,and active cycle of breathing.Respir Care,2002,47:778.
37. Haas CS,Loik PS,Gay SE.Airway clearance applications in the elderly and in patients with neurologic or neuromuscular compromise.Respir Care,2007,52:1362.
38. Vassilakopoulos T,Zakynthinos S,Roussos C.The tension-time index and the frequency/tidal volume ratio are the major pathophysiologic determinants of weaning failure and success.Am J Respir Crit Care Med,1998,158:378-385.
39. Guérin C,Reignier J,Richard JC,et al.Prone positioning in severe acute respiratory distress syndrome.N Engl J Med,2013,368:2159-2168.
40. Pattanshetty RB,Gaude GS.Effect of multimodality chest physiotherapy on the rate of recovery and prevention of complications in patients with mechanical ventilation:a prospective study in medical and surgical intensive care units.Indian J Med Sci,2011,65:175-185.
41. Castro AA,Calil SR,Freitas SA,et al.Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay,pulmonary infection rate and mortality in ICU patients.Respir Med,2013,107:68-74.
42. Punithavathi N,Ong L,Sivasangari S,et al.A pilot randomized control cross over study evaluating the effectiveness and safety of mechanical percussor compared with conventional chest physiotherapy in adults with productive cough.Med J Malaysia,2014,69:16-20.

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心肺康复治疗对撤机的帮助

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