ICU有创机械通气患者吸气肌训练的最佳证据总结

doi:10.3761/j.issn.2096-7446.2025.03.017

摘要/Abstract

摘要：

目的总结ICU有创机械通气患者吸气肌训练的最佳证据，为ICU医务人员执行吸气肌训练方案提供循证依据。方法系统检索指南网、相关专业协会网站、中英文数据库中关于有创机械通气患者吸气肌训练的所有证据，检索时限为建库至2024年2月1日。结果最终纳入21篇文献，包括3篇临床决策、3篇指南、6篇专家共识、1篇证据总结、5篇系统评价、3篇随机对照试验。涉及了训练前期准备、训练实施过程、训练效果评价共27条证据。结论该研究总结了ICU有创机械通气患者吸气肌训练的最佳证据，为后期医务人员实施训练方案提供了循证依据。

关键词: 重症监护病房, 有创机械通气, 吸气肌训练, 证据总结, 循证护理学

Abstract:

Objective To summarize the best evidence on inspiratory muscle training for patients with invasive mechanical ventilation in the ICU，and to provide an evidence-based basis for the implementation of inspiratory muscle training protocols by ICU medical staff. Methods A systematic search of all evidence on inspiratory muscle training in patients with invasive mechanical ventilation in the guidelines websites，websites of relevant professional associations，and Chinese and English databases was conducted，the retrieval time limit was from the establishment of the databases to February 1，2024. Results Twenty-one papers were finally included，including three clinical decisions，three guidelines，six expert consensuses，one evidence summary，five systematic reviews，and three randomized controlled trials. A total of 27 pieces of evidence on training preparation，training implementation process，and evaluation of training effectiveness were covered. Conclusion This study summarizes the best evidence for inspiratory muscle training in patients undergoing invasive mechanical ventilation in the ICU and provides an evidence-based basis for the implementation of training programs by medical personnel.

Key words: Intensive Care Units, Invasive Mechanical Ventilation, Inspiratory Muscle Training, Evidence Summary, Evidence-Based Nursing

怀其阳, 白雪, 刘备备, 王启, 刘红丽, 杨丽娟. ICU有创机械通气患者吸气肌训练的最佳证据总结[J]. 中华急危重症护理杂志, 2025, 6(3): 351-357.

HUAI Qiyang, BAI Xue, LIU Beibei, WANG Qi, LIU Hongli, YANG Lijuan. Summary of the best evidence for inspiratory muscle training in ICU patients with invasive mechanical ventilation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 351-357.

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