通过皮肤进行脊髓刺激可促进COVID-19后急性患者的呼吸功能表现
Alexander Ovechkin1,2,3, Tatiana Moshonkina4, Natalia Shandybina4
1Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY 40202, USA.
Life (Basel, Switzerland)
|July 29, 2023
概括
脊髓穿皮刺激 (scTS) 通过增强呼吸和呼吸肌肉活动,改善了COVID-19后患者的呼吸功能. 这种神经调节对COVID-19呼吸系统康复策略有希望.
科学领域:
- 神经学 神经学
- 呼吸系统医学 呼吸系统医学
- 康复 康复 康复 康复
背景情况:
- COVID-19 可能导致呼吸道和中枢神经系统功能障碍.
- 制定有效的康复策略,以应对COVID-19后的呼吸系统缺陷至关重要.
研究的目的:
- 评估脊髓穿皮刺激 (scTS) 对呼吸功能的神经调节作用.
- 在健康对照组和COVID-19后呼吸缺陷患者中评估scTS.
- 探索scTS作为一个潜在的康复策略.
主要方法:
- 一项前后,干预性,病例控制的研究,涉及10名COVID-19后患者和8名健康对照.
- 一次20分钟的模块化单相scTS应用到T5和T10脊髓段.
- 在scTS之前和之后评估呼吸系统参数,包括FVC,PIF,PEF,tPIF和tPEF.
主要成果:
- 在COVID-19后的患者中,scTS显著增加了PIF和PEF,同时降低了TPIF和TPEF.
- 健康对照显示PIF增加和TPIF降低,但PEF降低和TPEF增加.
- 在干预后,强迫生命能力 (FVC) 在两组中保持不变.
结论:
- 在COVID-19后的患者中,scTS促进了呼吸和呼气脊髓神经网络的激发.
- 在这些患者中,scTS会立即改善呼吸功能表现.
- 这种神经调节方法是COVID-19呼吸系统康复计划的可行选择.
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