纤维肌痛妇女的改变呼吸模式和胸部运动:一个病例对照研究
Kent Jonsson1, Andreas Pikwer2, Erik Mg Olsson3
1Department of Rehabilitation Medicine, Nyköping hospital, Nyköping, Sweden; Department of Public Health and Caring Sciences, Section of Family Medicine, Uppsala University, Uppsala, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Sweden.
患有纤维肌痛的女性表现出改变的呼吸模式,包括更快,更浅的呼吸. 胸部流动性减少和压力增加可能导致纤维肌痛患者的呼吸系统变化.
科学领域:
- 肺部病理学 肺部病理学
- 类风湿病学 类风湿病学
- 精神病体医学是一种精神病体医学.
背景情况:
- 纤维肌痛 (FM) 是一种慢性疾病,其特点是普遍的疼痛和疲劳.
- 改变呼吸功能和减少胸部移动性已在FM. 事上报告.
- 呼吸机制,疼痛和FM中的心理因素之间的相互作用需要进一步调查.
研究的目的:
- 与健康对照人群相比,研究FM女性的呼吸参数 (每分钟通风,潮体积,呼吸率) 和胸部运动能力.
- 探索感知压力对FM的呼吸功能的影响.
- 为了评估副脊柱肌肉的疼痛敏感性.
主要方法:
- 病例对照研究比较了38名患有 FM 的女性和44名健康对照.
- 通过便携式监视器测量呼吸速率;通过螺旋计测量潮体积;计算每分钟通风.
- 胸部移动性通过胸部膨胀进行评估;疼痛敏感性通过算法学;感知压力通过感知压力尺度-10感知压力.
主要成果:
- 与对照组相比,患有FM的女性的每分钟通风率 (p<0.032),呼吸率 (p<0.001) 和潮体积 (p<0.001) 显著高于对照组.
- 在 FM 组中观察到胸部移动性减少.
- 对感知压力的调整消除了分钟通风的群体差异,但不是呼吸速率或潮体积的差异.
结论:
- 纤维肌痛与改变的呼吸模式有关,其特点是呼吸速率增加和潮体积减少.
- 胸部运动减少和感知到的压力是导致这些呼吸系统变化的潜在因素.
- 综合呼吸系统评估和治疗可以提高FM患者的康复结果.
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