患儿多发性硬化症患者的呼吸功能,呼吸肌肉强度和疲劳:一个比较的横截面研究
Pelin Vural1,2, Buket Akinci3, Serhat Guler4
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.
患有PwPOMS的儿童表现出呼吸肌肉强度和功能的减少,以及疲劳水平的增加. 自我报告的疲劳显著影响他们的呼吸系统参数,突出了干预的关键领域.
科学领域:
- 肺部医学 肺部医学
- 儿科呼吸系统健康 儿科呼吸系统健康
- 临床生理学 临床生理学
背景情况:
- 儿科阻塞性肺综合征 (PwPOMS) 可以影响呼吸系统的健康.
- 了解疲劳对PwPOMS呼吸功能的影响对于管理至关重要.
研究的目的:
- 为了比较患有PwPOMS的儿童的呼吸功能,肌肉强度和疲劳水平,与健康对照进行比较.
- 在PwPOMS.中调查疲劳在确定呼吸系统参数中的作用.
主要方法:
- 涉及25名患有PwPOMS的儿童和15名健康对照.
- 测量最大吸入和呼气压力 (MIP/MEP) 和螺旋计 (FEV1,FVC,FEV1/FVC,PEF).
- 使用儿科生活质量库存多维疲劳量表 (PedsQL-MFS) 评估疲劳.
主要成果:
- 与对照组相比,PwPOMS的FEV1%预测,PEF%预测,MIP和MEP显著较低.
- 普华永道在PedsQL-MFS的多个领域报告了更高的疲劳水平.
- 回归分析表明,一般疲劳和总PedsQL-MFS得分是FEV1%pred,PEF%pred和FEV1/FVC%pred的重要决定因素.
结论:
- 患有PwPOMS的儿童表现出呼吸道肌肉强度和肺功能受损 (FEV1,PEF),FEV1/FVC比率保持.
- 在PwPOMS中,疲劳水平升高,并显著影响呼吸功能,但不会影响肌肉力量.
- 调查结果强调了在普华永道的综合护理中解决疲劳问题的重要性.
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