Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 ...Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 lung cancer patients admitted to our hospital from April 2020 to November 2021 were selected as the observation objects, and then divided into a control group and an observation group using the random number table method, with 49 cases in each group. The control group received routine admission guidance and active respiratory circulation training, while the observation group was supplemented with external diaphragm pacemaker on the basis of the control group. The intervention effect was evaluated by blood gas indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators before and after intervention. Results: Before intervention, there were no significant differences in blood gas analysis indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators between the two groups (P > 0.05). After intervention, the improvement degree of the above indicators in the observation group was higher than that in the control group (P < 0.05). Conclusions: The application of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients is significant, which can effectively improve the pulmonary function, blood gas function, and diaphragm function of lung cancer patients after surgery, and improve the activities of daily living and quality of life of patients.展开更多
Amyotrophic lateral sclerosis (ALS) also known as Lou Gehrig’s disease is a relentlessly progressive, fatal disease. Progression of the disease results 3 - 5 years after diagnosis, often from respiratory failure. The...Amyotrophic lateral sclerosis (ALS) also known as Lou Gehrig’s disease is a relentlessly progressive, fatal disease. Progression of the disease results 3 - 5 years after diagnosis, often from respiratory failure. The diaphragm pacing system (DPS) is a device that stimulates the diaphragm to maximally contract so patients can breathe more effectively. It has been used in patients with neurologic injuries such as spinal cord injury and ALS. From an anesthetic perspective, both the surgery and the patient population present several unique challenges. This case series describes three patients with ALS who had the diaphragmatic pacemaker placed and the anesthetic management during those surgeries.展开更多
目的观察体外膈肌起搏器(EDP)联合POWERbreathe呼吸训练对颈脊髓损伤后气管切开患者呼吸功能及拔除气管套管时间的影响。方法纳入52例颈脊髓损伤后气管切开患者随机分为观察组(26例)和对照组(26例)。对照组在常规康复治疗基础上进行POWE...目的观察体外膈肌起搏器(EDP)联合POWERbreathe呼吸训练对颈脊髓损伤后气管切开患者呼吸功能及拔除气管套管时间的影响。方法纳入52例颈脊髓损伤后气管切开患者随机分为观察组(26例)和对照组(26例)。对照组在常规康复治疗基础上进行POWERbreathe呼吸训练;观察组在对照组治疗的基础上辅以EDP治疗。比较两组患者的第一秒用力呼气容积(FEV1)、最大吸气压(MIP)和膈肌功能等相关指标。结果与对照组比较,观察组治疗8周后的FEV1[(63.86±16.18)%vs.(54.17±14.15)%]和MIP [(66.43±13.15)%vs.(55.94±14.43)%]较高(P<0.05),膈肌移动度大[(3.27±0.17) cm vs.(2.80±0.22) cm]和膈肌厚度[(3.29±0.53) cm vs.(2.84±0.48) cm]较大(P<0.05),拔管时间较早[(22.46±4.43) d vs.(26.35±4.11) d](P<0.05),拔管率较高(80.77%vs. 53.85%)(P<0.05)。结论 EDP联合POWERbreathe呼吸训练可以更好的改善颈脊髓损伤后气管切开患者的呼吸功能和缩短拔管时间。展开更多
文摘Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 lung cancer patients admitted to our hospital from April 2020 to November 2021 were selected as the observation objects, and then divided into a control group and an observation group using the random number table method, with 49 cases in each group. The control group received routine admission guidance and active respiratory circulation training, while the observation group was supplemented with external diaphragm pacemaker on the basis of the control group. The intervention effect was evaluated by blood gas indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators before and after intervention. Results: Before intervention, there were no significant differences in blood gas analysis indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators between the two groups (P > 0.05). After intervention, the improvement degree of the above indicators in the observation group was higher than that in the control group (P < 0.05). Conclusions: The application of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients is significant, which can effectively improve the pulmonary function, blood gas function, and diaphragm function of lung cancer patients after surgery, and improve the activities of daily living and quality of life of patients.
文摘Amyotrophic lateral sclerosis (ALS) also known as Lou Gehrig’s disease is a relentlessly progressive, fatal disease. Progression of the disease results 3 - 5 years after diagnosis, often from respiratory failure. The diaphragm pacing system (DPS) is a device that stimulates the diaphragm to maximally contract so patients can breathe more effectively. It has been used in patients with neurologic injuries such as spinal cord injury and ALS. From an anesthetic perspective, both the surgery and the patient population present several unique challenges. This case series describes three patients with ALS who had the diaphragmatic pacemaker placed and the anesthetic management during those surgeries.
文摘目的观察体外膈肌起搏器(EDP)联合POWERbreathe呼吸训练对颈脊髓损伤后气管切开患者呼吸功能及拔除气管套管时间的影响。方法纳入52例颈脊髓损伤后气管切开患者随机分为观察组(26例)和对照组(26例)。对照组在常规康复治疗基础上进行POWERbreathe呼吸训练;观察组在对照组治疗的基础上辅以EDP治疗。比较两组患者的第一秒用力呼气容积(FEV1)、最大吸气压(MIP)和膈肌功能等相关指标。结果与对照组比较,观察组治疗8周后的FEV1[(63.86±16.18)%vs.(54.17±14.15)%]和MIP [(66.43±13.15)%vs.(55.94±14.43)%]较高(P<0.05),膈肌移动度大[(3.27±0.17) cm vs.(2.80±0.22) cm]和膈肌厚度[(3.29±0.53) cm vs.(2.84±0.48) cm]较大(P<0.05),拔管时间较早[(22.46±4.43) d vs.(26.35±4.11) d](P<0.05),拔管率较高(80.77%vs. 53.85%)(P<0.05)。结论 EDP联合POWERbreathe呼吸训练可以更好的改善颈脊髓损伤后气管切开患者的呼吸功能和缩短拔管时间。
