Goldman J M, Rose L S, Williams S J, Silver J R, Denison D M
Thorax. 1986 Dec;41(12):940-5. doi: 10.1136/thx.41.12.940.
We studied the effect on breathing of a conventional and a newly designed abdominal binder in seven patients with complete tetraplegia. The indices of respiratory ability used were the transdiaphragmatic pressure on maximal sniff (sniff Pdi), the maximum static inspiratory mouth pressure (PImax), and the vital capacity (VC). These were measured in patients with and without binders, in the supine position, raised up to 70 degrees on a tilt table, and seated upright. When patients were raised from the supine to the 70 degrees tilt and to the seated posture, sniff Pdi and VC decreased. Both binders improved VC in the seated position and at 70 degrees tilt, and sniff Pdi at 70 degrees tilt. The new binder was as effective as but no better than the conventional binder. PImax was too variable to be a valuable index of inspiratory power. These findings support the view that abdominal binders assist breathing in tetraplegic patients who are seated or raised to near vertical positions.
我们研究了传统腹带和新设计腹带对7例完全性四肢瘫痪患者呼吸的影响。所使用的呼吸能力指标为最大吸气时的跨膈压（吸气跨膈压）、最大静态吸气口腔压力（最大吸气压力）和肺活量（VC）。这些指标在患者佩戴和不佩戴腹带时进行测量，测量体位包括仰卧位、在倾斜台上抬高至70度以及直立坐位。当患者从仰卧位抬高至70度倾斜位和坐位时，吸气跨膈压和肺活量下降。两种腹带均能改善直立坐位和70度倾斜位时的肺活量，以及70度倾斜位时的吸气跨膈压。新腹带的效果与传统腹带相同，但并不优于传统腹带。最大吸气压力变化太大，无法作为吸气力量的有效指标。这些发现支持这样一种观点，即腹带可辅助处于坐位或接近垂直体位的四肢瘫痪患者呼吸。
