[肺移植候选人的脆弱性和功能状态之间的关系]
A Gómez-Garrido1, B Planas-Pascual2, P Launois1
1Unidad de Rehabilitación Médica Compleja, Servicio de Medicina Física y Rehabilitación, Hospital Universitario Vall d'Hebron, Barcelona, España; Universidad Autónoma de Barcelona, Barcelona, España.
Rehabilitacion
|June 2, 2024
概括
在等待肺移植 (LT) 的患者中,虚弱的风险很高. 虚弱与功能能力相关,但与肺部分配分数 (LAS) 不相关,这凸显了其在LT候选人选择中的重要性.
科学领域:
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
- 移植医学 移植医学
背景情况:
- 肺移植 (LT) 是对末期呼吸道疾病的重要治疗方法.
- 评估功能状态和脆弱性对于选择LT候选人至关重要.
研究的目的:
- 为了确定在等待肺移植的患者中虚弱的患病率.
- 为了研究脆弱性,功能状态,肺部分配得分 (LAS) 和肌肉功能障碍之间的关联.
主要方法:
- 进行了一项描述性的横截面研究.
- 在LT等候名单上的74名患者使用SPPB测试来评估虚弱,使用6分钟步行测试 (6MWT) 评估功能能力,并使用最大吸气压测量肌肉力量.
主要成果:
- 虚弱和虚弱前的患病率为33.8%.
- 虚弱 (SPPB分数<9) 与6MWT的步行距离减少和最大吸气压力相关.
- 没有发现脆弱性和肺部分配评分 (LAS) 之间的显著关系.
结论:
- 绝症慢性呼吸道疾病患者中很大一部分患者表现出虚弱.
- 脆弱性是影响LT候选人的功能能力的一个重要因素.
- 当前的分配分数可能无法完全捕捉到脆弱对移植候选人的影响.
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