机械通气患者膈肌功能对临床结局影响的研究进展及护理启示

doi:10.3761/j.issn.0254-1769.2025.11.018

摘要/Abstract

摘要：

膈肌功能障碍是机械通气患者常出现的问题，与多种不良结局密切相关。该文通过对膈肌功能的评估方式、膈肌功能障碍与机械通气患者临床不良结局的关联、减少机械通气患者膈肌功能对临床不良结局影响的干预策略进行综述，以期为临床护理人员优化评估技术、制订个性化护理方案、提升患者生活质量和改善其健康结局提供参考。

关键词: 机构通气, 膈肌功能, 护理, 不良结局, 综述

Abstract:

Dysfunction of the diaphragm is a common problem in mechanically ventilated patients and is closely related to various adverse outcomes. This review summarizes the evaluation methods of diaphragm function，the association between diaphragm dysfunction and adverse clinical outcomes in critically ill mechanically ventilated patients，and the protective effect of diaphragm function on adverse outcomes related to mechanical ventilation. The aim is to provide references for medical staff to optimize evaluation techniques，develop personalized nursing plans，and improve patients’ quality of life and health outcomes.

Key words: Ventilation, Diaphragm Function, Nursing Care, Adverse Outcomes, Review

陈天超, 冯悦颖, 兰元梅, 吴昊琪, 柳馨怡, 白云锋, 赵明曦, 罗红波, 李尊柱, 吴欣娟. 机械通气患者膈肌功能对临床结局影响的研究进展及护理启示[J]. 中华护理杂志, 2025, 60(11): 1394-1399.

CHEN Tianchao, FENG Yueying, LAN Yuanmei, WU Haoqi, LIU Xinyi, BAI Yunfeng, ZHAO Mingxi, LUO Hongbo, LI Zunzhu, WU Xinjuan. Research progress on the impact of diaphragmatic function on clinical outcomes in mechanically ventilated patients and nursing implications[J]. Chinese Journal of Nursing, 2025, 60(11): 1394-1399.

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