Intensive Care Unit Acquired Weakness
Conditions
Interventions
Control Group:Basic treatment: Including treatment of primary diseases, anti-infection therapy, maintenance of water-electrolyte balance, nutritional support, mechanical ventilation assistance, and dr
Buzhong Yiqi Decoction, Xiangsha Liujunzi Decoction, or Dingkou Guifu Lizhong Decoction for spleen-yang deficiency with cold tendency
Shashen Maidong Decoction, Yiwei Decoction, or Baihu Decoction for stomach-yin deficiency with heat syndrome. Rehabilitation training: Passive and active functional exercises were carried out graduall
Intervention Group 1:Routine nursing plus acupuncture intervention. Acupuncture: Points of the Yangming Meridian such as Quchi (LI11), Hegu (LI4), Zusanli (ST36) and Fenglong (ST40) were selected. For
Intervention Group 2:Routine nursing combined with external diaphragmatic pacing (EDP) intervention: Patients were placed in a supine position with the head of the bed elevated at 60°. The upper elect
Sponsors
Shanxi Traditional Chinese Medical Hospital
Eligibility
Sex/Gender
All
Age
19 Years to 80 Years
Inclusion criteria
Inclusion criteria: (1) Meeting the diagnostic criteria of ICU-AW in both traditional Chinese medicine and Western medicine (2) Aged 19 to 80 years (3) With intact skin in the sternocleidomastoid muscle area (4) Patients and their family members providing informed consent and signing the informed consent fo
Exclusion criteria
Exclusion criteria: (1) Pre-existing central or peripheral motor nerve dysfunction prior to enrollment (2) Complicated with unhealed limb or spinal fractures, lower extremity deep venous thrombosis, and other comorbidities (3) Patients with contraindications to external diaphragmatic pacing therapy (e.g., pleural thickening and adhesion, internal metal implants, pneumothorax, active pulmonary tuberculosis, severe pulmonary infection, etc.) (4) Patients with diaphragmatic structural or anatomical abnormalities; those with undetectable diaphragmatic thickness window on ultrasound (5) Pregnant or lactating females
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle strength recovery (MRC score);Diaphragmatic function;Evaluation of TCM syndrome efficacy;Inflammatory biomarkers (C-reactive protein, CRP); | — |
Secondary
| Measure | Time frame |
|---|---|
| Mechanical ventilation duration;Total hospital stay;ICU stay; | — |
Countries
China
Contacts
Public ContactGao Sumei
Shanxi Traditional Chinese Medical Hospital
Outcome results
None listed