急性缺血性脑卒中偏瘫患者双侧膈肌功能差异性研究  

Study on the Difference of Bilateral Diaphragm Function in Hemiplegic Patients with Acute Ischemic Stroke

作　　者：林海[1] 陈波 陈经 叶忠兴 林玲[1] 

机构地区：[1]福建中医药大学附属第二人民医院神经外科,福建 福州 [2]福建中医药大学附属第二人民医院重症医学科,福建 福州 [3]福建中医药大学附属第二人民医院神经内科,福建 福州

出　　处：《医学诊断》2023年第2期159-165,共7页Medical Diagnosis

摘　　要：目的:研究急性缺血性脑卒中偏瘫患者双侧膈肌功能差异性及与呼吸功能的相关性。方法:收集符合纳入标准的急性缺血性脑卒中患者90例,根据患侧肌力程度分为6组,分别是0级、1级、2级、3级、4级、5级组,运用床旁超声评价不同肌力患者双侧膈肌移动度及膈肌增厚率的差异,并计算各组患者肺部感染及呼吸衰竭发生率。结果:肌力0级组患侧膈肌增厚率显著低于健侧(P 0.05)。结论:急性缺血性脑卒中偏瘫患者存在双侧膈肌功能差异,“膈肌偏瘫”导致患者出现呼吸功能障碍,引起肺部感染及呼吸衰竭的发生。Objective: To study the relationship between diaphragm function and respiratory function in hemi-plegic patients with acute ischemic stroke. Methods: Ninety patients with acute ischemic stroke were divided into 6 groups according to the muscle strength of the affected side, which were 0 grade, 1 grade, 2 grade, 3 grade, 4 grade and 5 grade groups. Bedside ultrasound was used to evaluate the difference of bilateral diaphragm strength and diaphragm thickening rate of patients with different muscle strength, and the incidence of pulmonary infection and respiratory failure was calculated. RESULTS: The thickening rate of diaphragm in the affected side was significantly lower than that in the healthy side in the muscle strength grade 0 group (P 0.05). Conclusion: There are bilateral diaphragm function differences in hemiplegic patients with acute ischemic stroke. “Diaphragm hemiplegia” leads to pulmonary infection and respiratory failure caused by respiratory function in patients with acute ischemic stroke.

关 键 词：偏瘫患者 急性缺血性脑卒中 呼吸功能障碍 膈肌功能 呼吸衰竭 床旁超声 肺部感染 纳入标准 

分 类 号：R74[医药卫生—神经病学与精神病学]