지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 972 - 976 (5page)
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초록· 키워드
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Purpose: For patients with neuromuscular disease, air stacking, which inflates the lungs to deep volumes, is important for many reasons. However, neuromuscular patients with severe glottic dysfunction or indwelling tracheostomy tubes cannot air stack effectively. For these patients, we developed a device that permits deep lung insufflations substituting for glottic function. Materials and Methods: Thirty-seven patients with bulbar-innervated muscle weakness and/or tracheostomies were recruited. Twenty-three had amyotrophic lateral sclerosis, and 14 were tetraplegic patients due to cervical spinal cord injury. An artificial external glottic device (AEGD) was used to permit passive deep lung insufflation. In order to confirm the utility of AEGD, vital capacity, maximum insufflation capacity (MIC), and lung insufflation capacity (LIC) with AEGD (LICA) were measured. Results: For 30 patients, MICs were initially zero. However, with the use of the AEGD, LICA was measurable for all patients. The mean LICA was 1,622.7±526.8 mL. Although MIC was measurable for the remaining 7 patients without utilizing the AEGD, it was significantly less than LICA, which was 1,084.3±259.9 mL and 1,862.9±248 mL, respectively (p<0.05). Conclusion: The AEGD permits lung insufflation by providing deeper lung volumes than possible by air stacking.
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참고문헌 (11)
참고문헌 신청
Bach JR / 1993 / Mechanical insufflation-exsufflation. Comparison of peak expiratory flows with manually assisted and unassisted coughing techniques / Chest 104 : 1553 ~ 156
Bach JR / 2007 / Lung inflation by glossopharyngeal breathing and “air stacking” in Duchenne muscular dystrophy / Am J Phys Med Rehabil 86 : 295 ~ 300
Bach JR / 2008 / Lung insufflation capacity in neuromuscular disease / Am J Phys Med Rehabil 87 : 720 ~ 725
Estenne M / 1983 / Chest wall stiffness in patients with chronic respiratory muscle weakness / Am Rev Respir Dis 128 : 1002 ~ 1007
Estenne M / 1993 / Lung volume restriction in patients with chronic respiratory muscle weakness: the role of microatelectasis / Thorax 48 : 698 ~ 701
Bach JR / 2007 / Lung inflation by glossopharyngeal breathing and “air stacking” in Duchenne muscular dystrophy / Am J Phys Med Rehabil 86 : 295 ~ 300
Bach JR / 2008 / Lung insufflation capacity in neuromuscular disease / Am J Phys Med Rehabil 87 : 720 ~ 725
Estenne M / 1983 / Chest wall stiffness in patients with chronic respiratory muscle weakness / Am Rev Respir Dis 128 : 1002 ~ 1007
Estenne M / 1993 / Lung volume restriction in patients with chronic respiratory muscle weakness: the role of microatelectasis / Thorax 48 : 698 ~ 701
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