使用不同的热水交换器对喉切除患者进行最大限度的心肺运动测试 - 可行性和运动反应
Anne N Heirman1, Wim G Groen2, Lisette van der Molen1
1Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.
The Journal of laryngology and otology
|June 21, 2023
概括
用热和湿度交换器 (HME) 进行心肺运动测试对于喉切除术是可行的. 然而,目前的协议可能无法准确地测量最大运动能力,而较低的HME电阻并没有改善本研究的结果.
科学领域:
- 呼吸系统生理学 呼吸系统生理学
- 运动科学运动科学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 喉腔切除术改变了呼吸道的解剖结构,可能会影响呼吸.
- 热和湿度交换器 (HME) 对于喉腔切除术后的气道管理至关重要.
- HME呼吸阻力可以限制运动能力.
研究的目的:
- 评估心肺运动测试 (CPET) 的可行性,在喉切除术中使用in-situ HME.
- 调查不同HME电阻对运动能力的影响.
- 为了评估一个专门的低阻力HME是否能提高运动性能.
主要方法:
- 十名参与者接受了三种不同的HME (0.3,0.6和0.15hPa电阻) 的CPET.
- 测试使用了用于HME集成的内部设计的连接器.
- HME订单是随机和盲目的.
主要成果:
- 使用HME的CPET是可行的和安全的,没有任何不良事件.
- 只有四名参与者达到呼吸交换比率>1.1,这表明测试次最大.
- 运动能力在不同电阻的HME之间没有显著差异.
结论:
- 在喉切除术中,使用in-situ HME进行CPET是可行的.
- 标准CPET协议可能无法在这个人群中引起最大的努力.
- 降低HME抗性并没有提高本研究样本中的运动能力.
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