运动期间佩戴外科面罩对慢性肺部感染患者呼吸障碍的影响:一项随机交叉研究
Masahiro Shirata1, Kensuke Nishioka1, Nobuyoshi Hamao1
1Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo, Kyoto, 606-8507, Japan.
Respiratory medicine
|November 22, 2023
概括
在运动期间佩戴面罩会增加患有慢性肺部疾病如NTM-PD或支气管切除症的患者的呼吸障碍感觉得分. 降低生命能力进一步加剧了这些与口罩相关的呼吸困难.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
- 临床运动科学 临床运动科学
背景情况:
- 面罩在预防病毒传播方面是有效的.
- 对于慢性肺部疾病的运动期间面罩对面罩的影响存在有限的研究.
- 这项研究涉及面罩相关呼吸障碍的感觉和情感方面.
研究的目的:
- 在患有慢性肺部感染的患者中,在运动期间评估面罩诱导的呼吸障碍.
- 在运动期间评估呼吸障碍的感觉和情绪维度,有或没有面罩.
- 为了确定与恶化的呼吸障碍得分相关的因素.
主要方法:
- 随机交叉研究设计.随机交叉研究设计.
- 包括患有非结核性菌根性肺病 (NTM-PD) 或支气管切除症的成年患者.
- 在面具上和面具下运动期间使用多维性呼吸障碍概况评估呼吸障碍.
主要成果:
- 戴面罩时呼吸障碍的感觉维度得分显著更高 (中位数为10对3.5,P<0.001).
- "空气饥饿"被确定为主要的感官描述符.
- 预测的生命能力<80%是感官评分恶化的危险因素 (OR5.5,P = 0.038).
结论:
- 患有NTM-PD或支气管切除症的患者在运动期间在佩戴外科面罩时经历了感官呼吸障碍的增加.
- 降低生命能力 (预测<80%) 是与加重口罩相关呼吸障碍相关的关键因素.
- 研究结果强调,在这些患者的运动管理中,需要考虑与口罩相关的呼吸不适.
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