儿童肺移植后吸气肌训练的效果。
Effects of inspiratory muscle training after lung transplantation in children.
机构信息
Occupational Therapy, Health Science University, Minamitsuru-gun, Japan
Department of Rehabilitation, Shinshu University Hospital, Matsumoto, Nagano, Japan.
出版信息
BMJ Case Rep. 2021 Jul 21;14(7):e241114. doi: 10.1136/bcr-2020-241114.
Pulmonary rehabilitation is a cornerstone of management for patients after lung transplantation (LT), but the benefits of inspiratory muscle training (IMT) after LT in children are unclear. Therefore, we examined whether IMT can improve respiratory function and dyspnoea in a paediatric patient after LT.The patient was a 13-year-old boy who underwent double LT. However, mild physical activity such as walking triggered dyspnoea for the patient. The patient underwent IMT with the intensity of approximately 30% of his maximal inspiratory pressure (MIP) for 2 months.The patient's MIP was increased by approximately 60% after 2 months, and his forced vital capacity as a percent of the predicted normal value increased from 74.6% to 83.4%, with improvement of dyspnoea.IMT may help improve dyspnoea after LT in children with respiratory muscle weakness and a decline in respiratory function.
肺康复是肺移植（LT）后患者管理的基石，但吸气肌训练（IMT）在儿童 LT 后的益处尚不清楚。因此，我们研究了 IMT 是否可以改善 LT 后儿童的呼吸功能和呼吸困难。
患者为 13 岁男孩，接受了双肺 LT。然而，轻度体力活动，如行走，会引发患者呼吸困难。患者接受了大约 30%最大吸气压力（MIP）强度的 IMT，持续了 2 个月。
2 个月后，患者的 MIP 增加了约 60%，用力肺活量占预计正常值的百分比从 74.6%增加到 83.4%，呼吸困难得到改善。
IMT 可能有助于改善呼吸肌无力和呼吸功能下降的 LT 后儿童的呼吸困难。
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