Abstract
Effect of assisted lower body position conversion on diaphragm function after offline in cerebral infarction patients
  
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EN KeyWords: the diaphragmatic muscle function  thickening rate  position switch  mechanical ventilation
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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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EN Abstract:
  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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