Kim Dong Hyun, Kang Seong-Woong, Choi Won Ah
Department of Rehabilitation Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Rehabilitation Medicine, Gangnam Severance Hospital and Rehabilitation Institute of Neuromusular Disease, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2014 Nov;55(6):1729-35. doi: 10.3349/ymj.2014.55.6.1729.
To survey the use of invasive and noninvasive home mechanical ventilation (HMV) methods in South Korea from the perspective of physical medicine and rehabilitation (PM&R).
For 413 users of HMV, retrospective reviews of PM&R interventions and survey of HMV methods employed from Mar 2000 to Dec 2009.
Of the 413 users, the majority of whom with progressive neuromuscular disorders (NMDs) (n=358), 284 patients initially used noninvasive mechanical ventilation (NIV), while 63 others who were using tracheostomy mechanical ventilation switched to NIV as part of their rehabilitation. The NMD patients began HMV at an earlier age (34.9±20.3 yrs), and used for longer (14.7±7.5) hours than patients with non-neuromuscular causes of respiratory impairment.
Noninvasive management was preferred over invasive ones, and transition to the former was a result of PM&R interventions.
从物理医学与康复（PM&R）的角度调查韩国侵入性和非侵入性家庭机械通气（HMV）方法的使用情况。
对413名HMV使用者进行回顾性研究，回顾2000年3月至2009年12月期间的PM&R干预措施，并调查所采用的HMV方法。
在413名使用者中，大多数患有进行性神经肌肉疾病（NMDs）（n = 358），284例患者最初使用无创机械通气（NIV），另外63例使用气管切开机械通气的患者在康复过程中转为使用NIV。与非神经肌肉性呼吸障碍患者相比，NMD患者开始使用HMV的年龄更早（34.9±20.3岁），使用时间更长（14.7±7.5小时）。
与侵入性管理相比，非侵入性管理更受青睐，向非侵入性管理的转变是PM&R干预的结果。
