Discussion
delirium, muscle atrophy, ill
DYSFUNCTION, MUSCLE ATROPHY, COMPLICATIONS
Our study found that NMES improves muscle strength in patients on MV and slows muscle atrophy in skeletal muscles such as rectus abtris and quadriceps femoris when combined with conventional rehabilitation therapy, and improves muscle strength at discharge.Intensive rehabilitation refers to the rehabilitation treatment in intensive care environment, which is based on 24-hour close medical supervision and collaboration of multidisciplinary teams, with the purpose of preventing complications, preventing functional degradation and dysfunction, and improving functional activity ability and quality of life[Early pulmonary rehabilitation in patients with MV can be divided into passive exercise and active exercise. Early mobility and exercise, an important part of ABCDE bundle to prevent delirium in critical ill patients, has been proved feasible, safe, and beneficial for patients with prolonged MV in the ICU. Active mobilization and rehabilitation in the ICU improves mobility status, increases muscle strength, and elongates the survival time of patients.The combination of early mobility with other complementary care processes creates a holistic approach to clinical care, helps patients recover,and creates a philosophy of care that is greater than the sum of its parts [Passive exercise is suitable for patients who cannot cooperate, including passive limb movement, passive bedside cycling, and NMES[