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排序方式: 共有648条查询结果,搜索用时 15 毫秒
1.
2.
The purpose of this pilot study was to observe both relaxed and deep breathing patterns in a convenience sample to determine the incidence of normal versus faulty patterns of respiration. These observations were then combined with respondent answers to a survey on pain history to determine if there is any correlation between faulty breathing and musculo-skeletal pain patterns. If such a correlation can be made, then we propose that clinicians working with chronic pain patients may have improved outcomes if they address and correct faulty breathing patterns. Based on this study, it is suggested to include the evaluation and treatment of faulty respiration in the rehabilitation of chronic musculo-skeletal conditions, most notably cervical pain. 相似文献
3.
目的:研究不同剂量美维松对膈肌和拇收肌的抑制时程与恢复过程。方法:30例ASAⅠ级的成年手术患者,按美维松用量分成两组,Ⅰ组:0.16mg/kg,Ⅱ组:0.20mg/kg,每组15例。同步测定跨膈肌压(Pdi)和拇收肌对连续四次刺激(TOF)反应的T1(APT1)及TOFr值。结果:显示两组APT1最大抑制相近,是Pdi的1.7倍。Pdi达到最大抑制及恢复到75%的时间比APT1快得多。结论:提示美维松对膈肌收缩功能的抑制比拇收肌差,但恢复迅速。 相似文献
4.
5.
The healthy respiratory system has a remarkable capacity for meeting the metabolic demands placed upon it during strenuous exercise. For example, in order to regulate alveolar partial pressure of oxygen and carbon dioxide during heavy workloads, a 20-fold increase in alveolar ventilation can occur. The high metabolic costs and subsequent increased work of breathing associated with this ventilatory increase can result in a number of limitations to the healthy respiratory system. Two examples of respiratory system limitations that are associated with a high work of breathing are expiratory flow limitation and exercise-induced diaphragmatic fatigue. Expiratory flow limitation can lead to an inability to increase alveolar ventilation () in the face of increasing metabolic demands, resulting in gas exchange impairment and diminished endurance exercise performance. Furthermore, the high ventilatory requirements of endurance athletes and the inherent anatomical differences in females could make these groups more susceptible to expiratory flow limitation. Fatigue of the diaphragm has also been documented after strenuous exercise and may be related to a mechanism which increases sympathetic vasoconstrictor outflow and reduces limb blood flow during prolonged exercise. This competition between the muscles of respiration and locomotion for a limited cardiac output may have dramatic consequences for exercise performance. This brief review summarizes the literature as it pertains to the work of breathing, expiratory flow limitation, and exercise-induced diaphragmatic fatigue in healthy humans. 相似文献
6.
Dr M. Kimura T. Sugiura Y. Fukui T. Kimura Y. Harada 《Medical & biological engineering & computing》1992,30(2):155-161
Two ways of rate control for diaphragm pacing are proposed. One is rate control using only the patients' body temperature
(method I). The other is rate control by both the patients' heart rate and body temperature (method II). To test the effectiveness
of these methods, a diaphragm pacemaker which can be controlled by both heart rate and body temperature has been developed.
It was applied to nine mongrel dogs. The pacing rate is controlled by atrial blood temperature (method I) or by both heart
rate and temperature (method II). The animal's metabolism was elevated by the administration of a pyrogenic drug. It was found
that method I is not suited to rapid changes in metabolism; however, it is useful in extreme metabolic elevation. An animal's
metabolism was supported by using method II in all ranges of metabolism. This method proved more effective than method I for
rate-responsive diaphragm pacing. 相似文献
7.
Kim HK Choi YH Ryu SM Kim HK Chae YS Sohn YS Kim HJ 《Journal of Korean medical science》2005,20(6):1070-1072
Infradiaphragmatic extralobar pulmonary sequestration is an extremely rare congenital malformation. It is more frequently diagnosed in the antenatal period due to routine ultrasonic examination of the fetus or in the first 6 months of life, though on rare occasions it is discovered incidentally in adults. A 32-yr-old man presenting with epigastric discomfort and fever was referred. Computed tomographic scanning showed that a 16-cm, multiseptated, dumbbell-shaped, huge cystic tumor was located beneath the diaphragm. On the next day, 850 mL of thick yellowish pus was drained by sonography-guided fine needle aspiration for the purpose of infection control and diagnosis, but no microscopic organisms were found in repeated culture studies. Surgical removal of the cyst was performed through thoracoabdominal incision and most of these pathologic lesions were removed but we could not find the feeding arteries or any fistulous tract to surrounding structures. Histopathologic study revealed that it was extralobar pulmonary sequestration and culture study showed that many WBC and necrotic materials were found but there were no microorganisms in the cystic contents. We report the first case of an infected infradiaphragmatic retroperitoneal extralobar sequestration which was administered a staged management and achieved an excellent clinical course. 相似文献
8.
Duranti R Sanna A Romagnoli I Nerini M Gigliotti F Ambrosino N Scano G 《Pflügers Archiv : European journal of physiology》2004,448(2):222-230
We hypothesized that walking at increased speed or increasing gradient might have different effects on chest wall kinematics and respiratory muscle power components, and contribute differently to respiratory effort sensation. We measured the volumes of chest wall compartments by optoelectronic plethysmography, esophageal, gastric and transdiaphragmatic (P
di) pressures, and the sensation of the respiratory effort by a Borg scale in five normal subjects walking both at ascending gradient with constant speed (AG) and at ascending speed with constant gradient (AS). Chest wall kinematics, evaluated by displacement of chest wall compartments, did not show any significant difference between AS and AG. Muscle power, calculated as the product of mean flow and mean pressure, increased similarly, but its partitioning into pressure and velocity of shortening differed in the two modes. A greater increase in the pressure developed by the abdominal muscles (P
abm) (4.06-fold), and in the velocity of shortening of both rib cage inspiratory muscles (v
rcm,i) (2.01-fold) and the diaphragm (v
di) (1.90-fold) was associated with a lower increase in the pressure developed by the rib cage inspiratory muscles (P
rcm,i) (1.24-fold) and P
di (0.99-fold) with AG. Instead, with AS, a lower increase in P
abm (2.12-fold), v
rcm,i (1.66-fold) and v
di (1.54-fold) was associated with a greater increase in P
rcm,i (1.56-fold) and P
di (1.97-fold). A combination of P
abm and v
di during AG (Wald 2=23.19, P<0.0000), with the addition of P
rcm,i during AS (Wald 2=29.46, P<0.0000), was the best predictor of Borg score. In conclusion, the general strategy adopted by respiratory centers during different walking modes does not differ in terms of ventilation, chest wall kinematics, and respiratory muscle power production, whereas it does in terms of partitioning of power into pressure and velocity of shortening, and respiratory muscle contribution to respiratory effort sensation. Combinations of different patterns of flow and pressure generation made the respiratory effort sensation similar during AS and AG modes. 相似文献
9.
Nobukazu Tamaki 《European journal of applied physiology》1987,56(2):127-131
Summary Muscle fiber type composition and capillary supply in rat diaphragm were investigated after 14 weeks of endurance training: body weight and muscle fiber area were significantly decreased, the muscle fiber type composition, capillary to fiber ratio and number of capillaries around each fiber type were unchanged, and the capillary density and number of capillaries around each fiber relative to fiber type areas were significantly increased. These small fiber areas and increased capillary supplies in the trained rats would facilitate oxygen transport to all parts of the muscle fiber during exercise. It is concluded that the changes observed in the trained rat diaphragm appear to enhance the capacity for oxidative metabolism. 相似文献
10.
Thirty-nine male adult rats were divided into a control group and a denervation group that had been subjected to phrenicotomy 4 weeks earlier. Electrophysiological membrane properties (input resistance and rheobase) of phrenic motoneurons were measured from intracellular recordings made with glass microelectrodes. Under anesthetized and artificially ventilated conditions, the recorded motoneurons were divided into recruited (spike discharge) and non-recruited (depolarization only) types. There was a significant inverse relationship between the rheobase and input resistance in the control rats, but not in the denervated rats. In the control rats, the mean value of rheobase in the non-recruited motoneurons was significantly higher than that in the recruited motoneurons. In denervated rats, however, the mean value of rheobase in the recruited motoneurons was identical to that in the non-recruited motoneurons. The results indicated that phrenicotomy induced a de-differentiation of electrophysiological properties of the phrenic motoneurons, and that these changes might be restricted to the motoneurons innervating fast-twitch, low fatigue resistance muscle fibers. 相似文献