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特发性脊柱侧凸患者康复期间的肺功能测试和运动心肺功能参数(脊柱哈林顿棒融合术及训练)(作者译)

[Pulmonary function tests and spiroergometric parameters during rehabilitation of patients with idiopathic scoliosis (fusion of the spine with Harrington rod and training) (author's transl)].

作者信息

Stoboy H, Speierer B

出版信息

Arch Orthop Unfallchir. 1975;81(3):247-54. doi: 10.1007/BF00416950.

Abstract

11 female patients with idiopathic scoliosis underwent spinal fusion surgery after Harrington. Additionally the patients were exercised before and after surgery by a special program. During the period of rehabilitation the usual spirographic measurements were carried out and some spiroergometric parameters were measured at standardized ergometric work loads. The diminished vital capacity and the practically normal forced vital capacity were not changed significantly, but the maximum voluntary ventilation was enhanced distinctly. The resting heart rate, primarily far above normal level, decreased significantly at the end of the exercise period and approached normal range. Maximum heart rate corresponded always to the mean values of normal subjects. Instead of a nearly constant increased minute volume of respiration, respiratory frequency and specific ventilation (respiratory equivalent) the maximum 0-2 uptake and maximum 0-2 puls increased significantly. These changes can be explained by an improvement of the uneven distribution of perfusion and ventilation, due to the combined surgical and exercise treatment.

摘要

11名特发性脊柱侧弯女性患者接受了哈灵顿手术后的脊柱融合手术。此外,患者在手术前后通过一个特殊的项目进行锻炼。在康复期间,进行了常规的肺功能测量,并在标准化的测力计工作负荷下测量了一些运动心肺功能参数。肺活量降低但用力肺活量基本正常,两者均无明显变化,但最大自主通气量明显增加。静息心率起初远高于正常水平,在运动期结束时显著下降并接近正常范围。最大心率始终与正常受试者的平均值相符。最大摄氧量和最大氧脉搏显著增加,而不是呼吸分钟量、呼吸频率和每分通气量几乎持续增加。这些变化可以通过手术和运动联合治疗改善灌注和通气的不均匀分布来解释。

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