康复干预对增强多系统性缩患者咳功能的影响
Takashi Asakawa1,2, Mieko Ogino3, Naomi Tominaga3
1Department of Clinical Medical Sciences, Rehabilitation Medicine, International University of Health and Welfare Graduate School of Medicine, Narita, Japan.
Progress in rehabilitation medicine
|October 4, 2023
概括
最大吸气容量 (MIC) 改善了多重系统缩 (MSA) 患者的咳. 这一发现可能会根据咳和呼吸功能的严重程度来确定胃口术的时间.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
背景情况:
- 吸气性肺炎是多重系统缩 (MSA) 死亡的主要原因,源于咳功能受损.
- 有效的咳增强策略对于管理MSA患者和预防致命的呼吸道并发症至关重要.
研究的目的:
- 确定一种有效的方法来改善MSA患者的咳.
- 建立基于咳和呼吸功能障碍严重程度的胃口术使用标准.
主要方法:
- 18名可能的MSA患者被分为空气堆叠和非空气堆叠组.
- 咳峰值流量 (PCF) 在自发咳 (SpC) 下测量, SpC 具有最大吸气容量 (MIC), SpC 具有手工辅助咳 (MAC),以及 SpC 具有MIC 和 MAC.
- 使用接收器操作特征分析来确定FVC%的值,以识别高风险个体 (PCF <160 L/min).
主要成果:
- 在这两组中,灵感量与MIC显著增加.
- 与MIC相比,PCF显著增加,特别是在空气堆叠组.
- 59%以下的%FVC与PCF低于160 L/min相关,即使使用MIC.
结论:
- 最大吸入容量 (MIC) 有效地提高MSA患者的高峰咳流量 (PCF).
- 应根据咳和呼吸功能障碍的严重程度考虑胃口术的时间,特别是当FVC%低于59%时.
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