心脏外科手术后膈肌功能障碍的研究进展  

Research progress in diaphragmatic dysfunction after cardiac surgery

作　　者：余云(综述) 王哲芸[1] 王岩(审校) YU Yun;WANG Zheyun;WANG Yan(Department of Cardiothroracic Surgery,Nanjing Drum Tower Hospital,Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院心胸外科,南京210008

出　　处：《临床与病理杂志》2023年第2期408-415,共8页Journal of Clinical and Pathological Research

摘　　要：心脏外科手术是治疗严重心脏疾病的重要手段,近年随着外科技术的不断发展,手术成功率不断上升,但术后肺部并发症仍是影响患者预后的重要因素。膈肌功能障碍(diaphragm dysfunction,DD)是指膈肌肌力不能达到正常最大水平,导致最大吸气压降低,从而导致患者肺部并发症的发生率升高。目前国内DD研究主要集中于慢性阻塞性肺疾病患者,对心脏外科手术后患者的研究较少。因此总结心脏外科手术后DD的危险因素、评估方法及干预措施,有助于提高医护人员对心脏外科手术后DD的认识,降低患者肺部并发症的发生,并为构建心脏外科手术后规范化膈肌功能康复方案、改善患者呼吸功能提供指导。Cardiac surgery is an important method for the treatment of serious cardiac diseases.With the continuous development of surgical techniques in recent years,the success rate of surgery has been increasing,but postoperative pulmonary complications are still an important factor affecting the prognosis of patients.Diaphragm dysfunction(DD)refers to failure of the diaphragm to its maximum strength,resulting in a decrease in the maximum inspiratory pressure and an increased incidence of pulmonary complications.At present,the research of DD in China mainly focuses on patients with chronic obstructive pulmonary disease,and there are few studies on patients after cardiac surgery.Therefore,to summarize the risk factors,assessment methods and intervention measures of DD after cardiac surgery is helpful to improve the understanding of medical staff on DD after cardiac surgery,reduce the occurrence of pulmonary complications in patients,and provide guidance for the construction of standardized diaphragmatic function rehabilitation program after cardiac surgery and improve the respiratory function of patients.

关 键 词：心脏外科手术 膈肌功能障碍 治疗 

分 类 号：R654.2[医药卫生—外科学]