高位脊髓损伤中气管切开通气与膈神经起搏器通气的比较

Tracheostomy ventilation versus diaphragmatic pacemaker ventilation in high spinal cord injury.

作者信息

Esclarín A, Bravo P, Arroyo O, Mazaira J, Garrido H, Alcaraz M A

机构信息

Hospital Nacional de Paraplèjicos, Toledo, Spain.

出版信息

Paraplegia. 1994 Oct;32(10):687-93. doi: 10.1038/sc.1994.111.

DOI:10.1038/sc.1994.111

PMID:7831076

Abstract

We have made a retrospective comparative study of patients with spinal cord injury, nine with a diaphragmatic pacemaker and 13 with mechanical ventilation. Clinical outcome, cost and subjective satisfaction with both modalities have been evaluated. The functional status was the same with both types of treatment. Proper management of an electric wheelchair and optimal phonation were attained, respectively, in 100% and 89% of pacers and in 77% and 77% of mechanically ventilated. The rate of hospital discharge and satisfaction with the treatment were significantly better for pacers. The time devoted to ventilatory assistance and cost were also more favourable in this group.

摘要

我们对脊髓损伤患者进行了一项回顾性比较研究，其中9例使用膈神经起搏器，13例使用机械通气。对两种治疗方式的临床结果、成本和主观满意度进行了评估。两种治疗方式的功能状态相同。在使用起搏器的患者中，分别有100%和89%的患者能够正确操作电动轮椅并实现最佳发声，在使用机械通气的患者中，这两个比例分别为77%和77%。使用起搏器的患者出院率和对治疗的满意度明显更高。该组在通气辅助时间和成本方面也更具优势。