Variation trend of the strength of grip and tension in ICU patients during hospitalization

doi:10.3877/cma.j.issn.2096-1537.2021.02.010

Abstract

Abstract:

Objective

To understand the change of grip strength (upper limb) and tension (lower limb) in intensive care unit (ICU) patients during hospitalization.

Methods

Seventy-seven ICU patients from April 2019 to July 2019 received grip strength and lower limb tension assessments until they discharged from the ICU. The differences of grip strength and tension between patients on 3, 7 and 10 days after ICU admission and the point of ICU discharge were compared.

Results

There was no significant difference of grip strength among 3, 7 and 10 days after ICU admission. There was a differed significantly in the tension of patients within 3 days after admission (P＜0.05), and no difference in the tension within 7 and 10 days after admission. There were significant differences in grip strength between ICU admission and ICU discharge (P＜0.05). There were differences in tension between ICU admission and ICU discharge (P＜0.05). The grip strength increased by 17.2% on average and the lower limb tension increased by 41.3% on average when the patients discharged from the ICU.

Conclusion

During the period of admission to the ICU, the change trend of the patient's grip strength and tension is not obvious, but it still needs the attention of the medical staff.

Key words: ICU patients, Grip tension, Muscle strength

Xiaoping Su, Shiqin Pan, Mingxia Jiang, Lijuan Sun, Xiaolin Sun. Variation trend of the strength of grip and tension in ICU patients during hospitalization[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2021, 07(02): 149-152.

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URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2021.02.010

https://icu.cma-cmc.com.cn/EN/Y2021/V07/I02/149

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References 18

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测量肢体	1 d内	2 d内	3 d内	F值	P值
左上肢握力	13.86±9.83	14.46±11.52	14.80±11.34	0.747	0.450
右上肢握力	14.53±10.62	15.40±11.90	15.74±12.33	1.171	0.302
左下肢拉力	5.70±5.19	6.48±5.88^a	7.48±6.58^ab	15.001	＜0.001
右下肢拉力	4.81±4.59	6.02±5.24^a	6.89±6.38^ab	15.130	＜0.001

测量肢体	1 d内	2 d内	3 d内	F值	P值
左上肢握力	13.86±9.83	14.46±11.52	14.80±11.34	0.747	0.450
右上肢握力	14.53±10.62	15.40±11.90	15.74±12.33	1.171	0.302
左下肢拉力	5.70±5.19	6.48±5.88^a	7.48±6.58^ab	15.001	＜0.001
右下肢拉力	4.81±4.59	6.02±5.24^a	6.89±6.38^ab	15.130	＜0.001

测量肢体	1 d内	2 d内	3 d内	4 d内	5 d内	6 d内	7 d内	F值	P值
左上肢握力	14.01±12.42	13.17±12.17	13.81±11.58	14.32±12.04	14.62±12.51	15.96±12.97	15.95±14.02	1.707	0.174
右上肢握力	14.73±13.41	14.02±12.11	14.09±11.96	15.81±12.39	15.50±13.13	15.84±11.92	16.30±13.86	1.031	0.378
左下肢拉力	4.61±4.27	4.89±4.34	5.93±4.83	6.42±4.98	6.17±4.83	6.71±5.28	6.26±5.60	4.321	0.014
右下肢拉力	3.94±3.59	4.63±3.66	5.47±4.98	5.92±5.65	5.65±4.98	5.97±5.37	5.93±5.82	4.996	0.004

测量肢体	1 d内	2 d内	3 d内	4 d内	5 d内	6 d内	7 d内	F值	P值
左上肢握力	14.01±12.42	13.17±12.17	13.81±11.58	14.32±12.04	14.62±12.51	15.96±12.97	15.95±14.02	1.707	0.174
右上肢握力	14.73±13.41	14.02±12.11	14.09±11.96	15.81±12.39	15.50±13.13	15.84±11.92	16.30±13.86	1.031	0.378
左下肢拉力	4.61±4.27	4.89±4.34	5.93±4.83	6.42±4.98	6.17±4.83	6.71±5.28	6.26±5.60	4.321	0.014
右下肢拉力	3.94±3.59	4.63±3.66	5.47±4.98	5.92±5.65	5.65±4.98	5.97±5.37	5.93±5.82	4.996	0.004

测量肢体	1 d内	2 d内	3 d内	4 d内	5 d内	6 d内	7 d内	8 d内	9 d内	10 d内	F值	P值
左上肢握力	10.97±8.59	9.82±5.91	9.92±6.15	9.51±5.46	9.56±6.29	11.22±7.56	11.14±10.35	10.12±10.90	8.93±9.39	8.69±9.36	0.514	0.686
右上肢握力	11.44±9.87	10.38±5.25	9.78±6.21	11.34±6.68	11.09±7.98	11.64±7.50	11.65±10.19	9.89±8.88	10.47±11.38	10.13±11.48	0.293	0.852
左下肢拉力	4.08±1.26	4.60±1.87	5.28±2.18	5.24±2.60	4.51±2.74	5.17±3.71	4.15±3.79	4.76±3.88	4.64±4.62	5.27±5.37	0.664	0.559
右下肢拉力	3.27±1.55	4.23±2.27	4.54±2.69	4.77±2.99	4.32±2.96	4.73±3.84	4.24±3.91	4.15±3.43	4.43±4.18	5.29±5.87	0.941	0.425

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