ICU患者呼吸机相关性膈肌功能障碍管理的证据总结

doi:10.3761/j.issn.2096-7446.2025.01.017

Abstract

Abstract:

Objective To summarize the relevant evidence of ventilator-induced diaphragmatic dysfunction management in ICU patients，and to provide practical basis for clinical practice. Methods The relevant evidence on the management of ventilator-induced diaphragmatic dysfunction in ICU patients was retrieved from the guidelines website，professional association website and domestic and foreign databases. The retrieval time limit was from the establishment of the database to September 20，2023. The types of evidence included clinical decision-making，guidelines，evidence summary，best practice，recommended practice，expert consensus，systematic review，meta-analysis and randomized controlled trials. Two researchers evaluated the quality of literature independently，extracted and integrated the evidence. Results A total of 22 articles were included，including one guideline，one clinical decision，four expert consensuses，one meta-analysis，one evidence summary and 14 randomized controlled trials. A total of 29 evidences were summarized from seven dimensions，including evaluation，team building，ventilator management，drug management，nutrition management，rehabilitation training management and physical therapy. Conclusion This study summarizes the best evidence for the management of ventilator-induced diaphragmatic dysfunction in ICU patients，which is scientific and comprehensive，and can provide reference for clinical practice.

Key words: Intensive Care Units, Ventilator-induced Diaphragmatic Dysfunction, Evidence Summary, Evidence-Based Nursing

JI Li, WU Hui, JING Chenyang, YUE Weigang, WANG Yuanyunzi, WANG Tuohong, HE Guobao, FAN Luo. Summary of evidence on the management of ventilator-induced diaphragmatic dysfunction in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 100-106.

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References 32

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Summary of evidence on the management of ventilator-induced diaphragmatic dysfunction in ICU patients

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