文章摘要
李峰,王岩,周琪,陈法言,徐建,吴倩倩.辅助下体位转换对脑梗死患者脱机后膈肌功能的影响[J].中国康复,2023,38(8):465-469
辅助下体位转换对脑梗死患者脱机后膈肌功能的影响
Effect of assisted lower body position conversion on diaphragm function after offline in cerebral infarction patients
  
DOI:
中文关键词: 膈肌功能  增厚分数  体位转换  机械通气
英文关键词: the diaphragmatic muscle function  thickening rate  position switch  mechanical ventilation
基金项目:
作者单位
李峰 南京医科大学附属明基医院南京 210019 
王岩 南京医科大学附属明基医院南京 210019 
周琪 南京医科大学附属明基医院南京 210019 
陈法言 南京医科大学附属明基医院南京 210019 
徐建 南京医科大学附属明基医院南京 210019 
吴倩倩 南京医科大学附属逸夫医院南京 211112 
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中文摘要:
  目的:探究辅助下体位转换对脑梗死患者脱机后膈肌功能的影响。方法:50例脱机后脑梗死患者随机分为观察组25例和对照组25例,2组患者分别行早期床边康复训练,观察组在此基础上行辅助下体位转换训练。治疗前和治疗2周后分别观察2组患者膈肌的移动度、收缩速度、吸气末厚度、呼气末厚度和增厚分数。结果:治疗2周后,2组患者的膈肌移动度和收缩速度测量结果比较差异无统计学意义,观察组膈肌呼气末厚度较治疗前组内比较显著减少,增厚分数较治疗前组内比较显著增加(均P<0.05),对照组膈肌吸气末厚度和增厚分数较治疗前组内比较均显著减少(均P<0.05),观察组吸气末厚度和增厚分数较对照组显著增加(均P<0.05),观察组呼气末厚度较对照组显著减少(P<0.05)。结论:辅助下体位转换训练能显著增加脑梗死患者膈肌吸气末厚度,减少呼气末厚度,提高膈肌的增厚分数。
英文摘要:
  Objective: To explore the effect of assisted lower body transposition on diaphragm function in patients with cerebral infarction after offline. Methods: A total of 50 patients with cerebral infarction after offline were randomly divided into observation group (25 cases) and control group (25 cases). Patients in the two groups received early bedside rehabilitation training, and the observation group received assisted lower body position conversion training additionally. The degree of diaphragm movement, contraction velocity, end-inspiratory thickness, end-expiratory thickness and thickening fraction were observed before treatment and two weeks after treatment. Results: After two weeks of treatment, there was no significant difference in the measured results of diaphragm movement and contraction velocity between the two groups. The end-expiratory thickness of diaphragm in the observation group was significantly reduced, and the thickening fraction was significantly increased as compared with those before treatment (all P<0.05). Compared with those before treatment, the end inspiratory thickness and thickening fraction of diaphragm in the control group were significantly decreased (all P<0.05), the end-inspiratory thickness and thickening fraction of diaphragm in the observation group were significantly increased (all P<0.05), and the end-expiratory thickness in the observation group was significantly decreased (P<0.05). Conclusion: Assisted lower body position conversion training can significantly increase the end-inspiratory thickness of the diaphragm, reduce the end-expiratory thickness, and improve the thickness fraction of the diaphragm.
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