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膈肌功能障碍综合评估方法的研究进展

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Author:: No author available

Journal Title:: Chinese Journal of Tuberculosis and Respiratory Diseases

Issue:: 2

DOI:: 10.3760/cma.j.issn.1001-0939.2014.02.011

Key Word:: No keyword available

Abstract：膈肌是人体主要的呼吸肌,承担着60％～80％的通气需要.膈肌功能异常可出现运动耐力下降、呼吸困难、睡眠呼吸紊乱等,是呼吸衰竭发生的重要病理生理机制之一.除神经肌肉损伤外,慢性阻塞性肺疾病(慢阻肺)、支气管哮喘(简称哮喘)或慢性心力衰竭等可因通气异常、药物应用(如糖皮质激素、抗生素及镇静剂等)、机械通气,引起中枢敏感性异常、肌纤维损害或做功负荷过高/过低导致膈肌功能障碍[1-2].因此,对膈肌功能评估不仅有助于疾病诊断,还可用于慢阻肺、心衰等患者的肺功能评价及撤机指导等.本文就膈肌功能综合评估方法的研究进展进行综述.

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