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使用不同热湿交换器对喉切除患者进行最大心肺运动测试——可行性及运动反应

Maximal cardiopulmonary exercise testing in laryngectomised patients using different heat and moisture exchangers - feasibility and exercise responses.

作者信息

Heirman Anne N, Groen Wim G, van der Molen Lisette, Dirven Richard, van den Brekel Michiel W M, Stuiver Martijn M

机构信息

Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.

Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.

出版信息

J Laryngol Otol. 2024 Feb;138(2):216-223. doi: 10.1017/S0022215123001068. Epub 2023 Jun 21.

DOI:10.1017/S0022215123001068
PMID:37340780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10849895/
Abstract

OBJECTIVE

After laryngectomy, the breathing resistance of heat and moisture exchangers may limit exercise capacity. Breathing gas analysis during cardiopulmonary exercise testing is not possible using regular masks. This study tested the feasibility of cardiopulmonary exercise testing with a heat and moisture exchanger in situ, using an in-house designed connector. Additionally, we explored the effect of different heat and moisture exchanger resistances on exercise capacity in this group.

METHODS

Ten participants underwent two cardiopulmonary exercise tests using their daily life heat and moisture exchanger (0.3 hPa or 0.6 hPa) and one specifically developed for activity (0.15 hPa). Heat and moisture exchanger order was randomised and blinded.

RESULTS

All participants completed both tests. No (serious) adverse events occurred. Only four subjects reached a respiratory exchange ratio of more than 1.1 in at least one test. Maximum exercise levels using heat and moisture exchangers with different resistances did not differ.

CONCLUSION

Cardiopulmonary exercise testing in laryngectomees with a heat and moisture exchanger is feasible; however, the protocol does not seem appropriate to reach this group's maximal exercise capacity. Lowering heat and moisture exchanger resistance does not increase exercise capacity in this sample.

摘要

目的

喉切除术后，热湿交换器的呼吸阻力可能会限制运动能力。使用常规面罩无法在心肺运动试验期间进行呼吸气体分析。本研究使用自行设计的连接器，测试了原位使用热湿交换器进行心肺运动试验的可行性。此外，我们还探讨了不同热湿交换器阻力对该组运动能力的影响。

方法

10名参与者使用他们日常生活中的热湿交换器（0.3 hPa或0.6 hPa）和一种专门为活动开发的热湿交换器（0.15 hPa）进行了两次心肺运动试验。热湿交换器的顺序是随机且盲法的。

结果

所有参与者均完成了两项测试。未发生（严重）不良事件。只有4名受试者在至少一项测试中呼吸交换率超过1.1。使用不同阻力热湿交换器时的最大运动水平没有差异。

结论

对喉切除患者使用热湿交换器进行心肺运动试验是可行的；然而，该方案似乎不适用于达到该组的最大运动能力。降低热湿交换器的阻力并不会增加该样本的运动能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/035fe16142ec/S0022215123001068_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/d50f462ccab7/S0022215123001068_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/3a5ac4708fa7/S0022215123001068_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/035fe16142ec/S0022215123001068_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/d50f462ccab7/S0022215123001068_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/3a5ac4708fa7/S0022215123001068_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e931/10849895/035fe16142ec/S0022215123001068_fig3.jpg

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Arch Phys Med Rehabil. 2022 Dec;103(12):2391-2397. doi: 10.1016/j.apmr.2022.05.019. Epub 2022 Jun 26.
2
Optimizing Pulmonary Outcomes After Total Laryngectomy: Crossover Study on New Heat and Moisture Exchangers.优化全喉切除术后的肺部结局：新型热湿交换器的交叉研究。
Otolaryngol Head Neck Surg. 2022 Dec;167(6):929-940. doi: 10.1177/01945998221086200. Epub 2022 Mar 22.
3
Perception and Performance of Physical Activity Behavior after Head and Neck Cancer Treatment: Exploration and Integration of Qualitative and Quantitative Findings.
头颈部癌症治疗后身体活动行为的认知和表现：定性和定量研究结果的探索与综合。
Int J Environ Res Public Health. 2021 Dec 28;19(1):287. doi: 10.3390/ijerph19010287.
4
ARTP statement on cardiopulmonary exercise testing 2021.ARTP 关于心肺运动试验的声明 2021 年。
BMJ Open Respir Res. 2021 Nov;8(1). doi: 10.1136/bmjresp-2021-001121.
5
Low skeletal muscle mass assessed directly from the 3rd cervical vertebra can predict pharyngocutaneous fistula risk after total laryngectomy in the male population.直接从第 3 颈椎评估的低骨骼肌量可以预测男性全喉切除术后咽瘘的风险。
Eur Arch Otorhinolaryngol. 2022 Feb;279(2):853-863. doi: 10.1007/s00405-021-07127-3. Epub 2021 Oct 19.
6
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Head Neck. 2021 Apr;43(4):1073-1087. doi: 10.1002/hed.26571. Epub 2020 Dec 8.
7
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8
Accuracy of Commonly Used Age-Predicted Maximal Heart Rate Equations.常用年龄预测最大心率公式的准确性。
Int J Exerc Sci. 2020 Sep 1;13(7):1242-1250. doi: 10.70252/XFSJ6815. eCollection 2020.
9
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Laryngoscope Investig Otolaryngol. 2020 Apr 15;5(3):453-460. doi: 10.1002/lio2.381. eCollection 2020 Jun.
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Ann Otol Rhinol Laryngol. 2020 Dec;129(12):1186-1194. doi: 10.1177/0003489420931889. Epub 2020 Jun 12.