在患有肺高血压的儿童中评估手握力
Akif Kavgacı1, Serdar Kula1, Elif Berber Maraşlı2
1Department of Pediatric Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey.
Cardiology in the young
|March 7, 2024
概括
手握强度测试为评估肺高血压患者肌肉强度下降提供了一个简单的替代方案. 这种方法与关键预后指标相关,与6分钟步行测试不同.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 肺部医学 肺部医学
- 临床生理学 临床生理学
背景情况:
- 手握强度是上肢肌肉功能的关键指标,对于监测诸如心脏病等疾病很重要.
- 肌肉缩是由于心脏疾病而减少体力活动的患者的一个问题.
研究的目的:
- 为了研究小儿肺高血压患者的肌肉力量损失.
- 为了确定手握强度测试是否可以作为6分钟步行测试的替代方案.
主要方法:
- 评估了39名健康儿童和16名肺高血压儿童.
- 使用Jamar液压手动动力表测量了手握强度.
- 与预后指标进行了比较:NYHA类,6分钟步行测试和亲脑尿素.
主要成果:
- 患者 (20.8 ± 12 公斤) 和对照 (21.6 ± 12.4 公斤) 组之间的平均手握强度没有显著差异 (p = 0.970).
- 手握强度与亲脑尿素 (r = -0.565,p = 0.023) 有负相关性.
- 手握强度与6分钟步行测试呈正相关性 (r = 0.586,p = 0.022).
结论:
- 手握强度测试提供了一种简单的方法来评估肺高血压患者的功能衰退.
- 该测试是6分钟步行测试的可行替代方案,该测试需要特定的设施和人员.
- 手握强度降低与脑前 natriuretic 水平升高相关,这是肺高血压管理中的关键标志物.
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