患有医学上无法解释的身体症状和呼吸功能障碍的患者的呼吸疗法:试点和可行性试验
Hege Svenningsen1, Trine Stub2, Rosalba Courtney3
1Lege Hege Svenningsen AS, Norway.
一个为期5周的呼吸再培训计划显示,有望改善医学上无法解释的身体症状 (MUPS) 的患者的症状和幸福感. 干预导致呼吸,疼痛和整体症状负担持续改善.
科学领域:
- 综合医学是一个整体医学.
- 精神病体医学是一种精神病体医学.
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 医学上无法解释的身体症状 (MUPS) 在初级保健中很常见,导致显著的功能障碍.
- 功能障碍的呼吸模式经常与MUPS有关.
- 现有的MUPS治疗方法往往取得有限的成功,需要新的治疗方法.
研究的目的:
- 评估为期5周的MUPS患者呼吸再培训计划的有效性和可行性.
- 评估功能障碍呼吸,症状严重程度和整体健康状况的改善.
- 探索干预对特定症状集群和生理标志物的影响.
主要方法:
- 有量化,干预前后设计的试点试验.
- 从全科医院招募15名患有呼吸功能障碍的MUPS患者.
- 一个为期5周的课程,包括关于呼吸生理学的教育和鼻和共振呼吸的练习.
主要成果:
- 干预后一周,功能障碍呼吸得分,症状严重程度和肌肉骨疼痛显著改善.
- 在呼吸功能障碍,3个月后持续改善,整体幸福感和肌肉骨疼痛.
- 在3个月后观察到的额外好处包括减少了伪神经,胃肠道和过敏的投诉,降低了症状负担,并改善了潮末CO2.
结论:
- 5周的呼吸再培训计划在MUPS中显示了多个患者报告的结果的有希望的结果.
- 干预是可行的,招募,坚持和接受度令人满意.
- 建议进行随机对照试验,以确认这种呼吸干预措施对MUPS的疗效.
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