网膜瓣移位术后，呼吸功能和运动能力下降。

After omental flap transposition, respiratory function and exercise capacity decrease.

作者信息

Morotomi Nobuo, Saitoh Masakazu, Takanashi Shuichiro, Nagayama Masatoshi, Mizuma Masazumi

机构信息

Sakakibara Heart Institute and Department of Rehabilitation Medicine, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2010 Aug;16(1):9-15.

PMID:20190703

Abstract

PURPOSE

To evaluate the effect of respiratory function and exercise capacity after omental flap transposition.

METHODS

From October 2005 to December 2006, we classified mediastinitis patients treated with omental flap transposition (OT group; n = 10) and patients who underwent only cardiovascular surgery without developing complications (control group; n = 25). Percent vital capacity (%VC) was evaluated from the day of returning to the general ward for 5 consecutive days and on 14 days. The day of a 200 m walk was investigated, and the cardiopulmonary exercise test was conducted after discharge. Load and oxygen consumption (VO) at anaerobic threshold (i.e., AT load and AT VO), peak load, and peak VO were measured.

RESULTS

%VC significantly decreased in the OT group compared with the control group (P <0.05). An interaction effect between the 2 groups on the change in %VC was observed (F = 2.71, P <0.05). Three patients failed to accomplish a 200 m walk in the ward after omental flap transposition. AT VO and peak VO were significantly lower (P <0.05 and P <0.01, respectively) in the OT group than in the control group.

CONCLUSION

After omental flap transposition, %VC and VO decreased.

摘要

目的

评估网膜瓣移位术后呼吸功能和运动能力的效果。

方法

2005年10月至2006年12月，我们将接受网膜瓣移位术治疗的纵隔炎患者分为网膜瓣移位组（OT组；n = 10）和仅接受心血管手术且未发生并发症的患者（对照组；n = 25）。从返回普通病房之日起连续5天及在第14天评估肺活量百分比（%VC）。记录200米步行的日期，并在出院后进行心肺运动试验。测量无氧阈值时的负荷和耗氧量（即无氧阈值负荷和无氧阈值耗氧量）、峰值负荷和峰值耗氧量。