神経学的ケア患者における膜の形態と機能: 機械的な換気下で呼吸器の筋肉の強さの重要な相関を明らかにする
Naiara Kássia Macêdo da Silva Bezerra1, Elis Fernanda Araújo Lima de Oliveira1, Bárbara Bernardo Figueirêdo1
1Graduate Program in Rehabilitation and Functional Performance (PPGRDF), Universidade de Pernambuco, Petrolina, Pernambuco, Brazil.
まとめ
介膜の厚さは,呼吸器の筋肉の強さに適度に相関する. これは,腹膜の厚さが筋肉の強さを示す可能性があることを示唆しますが,さらなる研究が必要です.
科学分野:
- 神経科学
- クリティカル ケア 医療
- 肺内科
背景:
- 重度の神経損傷における長期にわたる侵入的機械呼吸 (IMV) は,隔膜縮と弱さを引き起こす可能性があります.
- これらの呼吸器の筋肉の問題は 離乳を複雑にし 神経学的ケア患者にも悪影響を及ぼします
- 膜の形状と機能を理解することは 患者の治療結果を改善するために不可欠です
研究 の 目的:
- IMVを投与された神経急性患者における膜の形態と機能を調査する.
- 隔膜の特徴と呼吸器の筋肉の強さの関係を調べる
- この集団における膜の健康を評価するための潜在的超音波マーカーを特定する.
主な方法:
- 圧力支援呼吸器 (PSV) を使った20人の神経学的患者を対象とした前向きな観察研究.
- 隔膜の形状と機能を超音波で評価した.
- マノバキュメトリーによる最大吸入圧 (MIP) と最大吐出圧 (MEP) で測定された呼吸器の筋肉強さ.
主要な成果:
- 膜の平均厚さ (DT) は1. 7mmであり,膜の平均抜き (DE) は20. 4mmであった.
- 平均MIPは -50cmH2O,平均MEPは30cmH2Oでした.
- MIP/MEPとDT (p < 0. 05) の間には適度な相関が見られた. 女性患者は男性よりMIPが著しく弱かった.
結論:
- 隔膜の厚さは,IMVの神経重症患者の呼吸筋の強さと相関しています.
- 隔膜の厚さは,筋肉の強さの評価のための潜在的なマーカーとして機能する.
- 隔膜の行動と入院時の臨床的影響を理解するために,さらなる縦断的な研究が必要である.
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