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稳定期中重度慢性阻塞性肺疾病患者运动时胸腹矛盾呼 …
引用本文:郭忠良,蔡映云. 稳定期中重度慢性阻塞性肺疾病患者运动时胸腹矛盾呼 …[J]. 中华结核和呼吸杂志, 2000, 23(3): 141-143
作者姓名:郭忠良  蔡映云
作者单位:上海医科大学附属中山医院肺科(郭忠良!200032,蔡映云!200032,杨文兰!200032,揭志军!200032),上海市东方医院呼吸科!200120(梁永杰)
摘    要:探讨慢性阻塞性肺疾病患者运动时胸腹矛盾呼吸的影响因素并观察氧疗对胸腹矛盾呼吸的影响。方法30例稳定期中重度COPD患者,运动前按常规进行功能检查和血气分析,分别在吸空气和30%氧气态下进行两次递增负荷运动试验,通过呼吸感应性体表描记仪监测运动过程中胸腹呼吸量之和与实际潮气量之比。

关 键 词:阻塞性肺疾病  运动试验  胸腹矛盾呼吸  氧疗法
修稿时间:1999-07-30

The extent of paradoxical thoracoabdominal motion during exercise was improved with oxygen therapy in patients with stable moderate to severe chronic obstructive pulmonary disease
GUO Zhongliang,CAI Yingyun,LIANG Yongjie,et al. The extent of paradoxical thoracoabdominal motion during exercise was improved with oxygen therapy in patients with stable moderate to severe chronic obstructive pulmonary disease[J]. Chinese journal of tuberculosis and respiratory diseases, 2000, 23(3): 141-143
Authors:GUO Zhongliang  CAI Yingyun  LIANG Yongjie  et al
Affiliation:Department of Pulmonary Disease, Zhongshan Hospital, Shanghai Medical University, Shanghai 200032, China.
Abstract:Objective To assess the synergetic change of thoracoabdominal motion in COPD patients during incremental exercise testing, and to evaluate the effect of oxygen therapy on thoracoabdominal synergetic motion Methods 30 stable moderate to severe COPD patients performed incremental exercise test with ergometer twice while breathing either air or 30% oxygen Thoracoabdominal motion (assessed by TCD/V T) was monitored with respigraph during the whole test Results 18 of 30 patients had TCD/V T>1 20 during maximal exercise TCD/V T at maximal exercise (TCD/V Tmax) was significantly correlated with FEV 1, FVC, MVV and PaCO 2 ( r =-0 66, -0 63, -0 51, and 0 51), but not correlated with DL CO The thoracoabdominal synergetic motion could be obviously improved with oxygen therapy Conclusions The change of thoracoabdominal synergetic motion during exercise in COPD patients was related with ventilatory function and blood gases Oxygen therapy could obviously ameliorate paradoxical thoracoabdominal motion
Keywords:Pulmonary disease   Chronic  Exercise  Paradoxical thoracoabdominal motion  Oxygen therapy
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