The Effect of Position on Measured Lung Capacity of Patients with Spinal Cord Injury
The Effect of Position on Measured Lung Capacity of Patients with Spinal Cord Injury
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DOI：
10.1589/jpts.24.655
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发表时间：
2012-09-01
影响因子：
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通讯作者：
Hwangbo, Gak
中科院分区：
文献类型：
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作者：
Kim, Myoung-Kwon;Hwangbo, Gak
[目的]探讨体位对脊髓损伤患者肺活量的影响。[受试者]研究受试者为45例脊髓损伤患者（颈椎15例，胸椎15例，腰椎15例）。向受试者提供了实验程序的完整解释，所有受试者都提供了书面同意书，表明他们自愿参与。[方法]采用肺活量计（Spirometer，Micromedical Ltd，UK）测定仰卧位和坐位（上身伸直成90 °）时的肺功能。同时测定用力肺活量（PVC）、第一秒用力呼气量（FEV1）、潮气量（TV）和最大吸气量（MIC）。[结果]颈、胸损伤组仰卧位FVC、FEV1、TV、MIC（%）均大于坐位。腰椎损伤患者仰卧位时FVC、FEV1、TV、MIC（%）较低。[结论]应重视损伤程度对肺活量测量值的影响。
[Purpose] To determine whether position affects measured lung capacity of spinal cord injury patients. [Subjects] The study subjects were 45 patients with spinal cord injury (cervical level 15, thoracic level 15, lumbar level 15). Subjects were provided with a full explanation of the experimental procedures and all provided written consent signifying their voluntary participation. [Methods] We used a spirometer (Spirometer, Micromedical Ltd, UK) to measure pulmonary function in the supine and sitting positions (straightened upper body at an angle of 900). Forced vital capacity (PVC), forced expiratory volume during the first second (FEV1), tidal volume (TV), and maximum insufflation capacity (MIC) were also measured. [Results] FVC, FEV1, TV, MIC (%) were greater in the supine than in the sitting position for those with injury at the cervical or thoracic injury level. On the other hand, FVC, FEV1, TV, MIC (%) were lower in the supine position for those with an injury at the lumbar level. [Conclusion] More attention should be paid to the effect of injury level on measured lung capacity.