Turanova Z R
Ter Arkh. 1994;66(8):77-80.
Transcutaneous stimulation electromyography of the diaphragm was performed in 64 patients suffering from chronic obstructive bronchitis (COB) to evaluate the function of the diaphragmatic muscle. Increased amplitude, area and shorter M-response gave evidence for the muscle fatigue. Changes in the above parameters correlated with the degree of the respiratory insufficiency and pulmonary hypertension. The authors included subcutaneous electrostimulation of the diaphragm in combined treatment of COB patients free of clinical manifestations indicating circulation decompensation. These patients benefited from the stimulation in contrast to COB patients with decompensated circulation who failed to respond to the procedure.
对64例慢性阻塞性支气管炎（COB）患者进行了膈神经的经皮刺激肌电图检查，以评估膈肌功能。振幅增加、面积增大和M波反应时间缩短表明存在肌肉疲劳。上述参数的变化与呼吸功能不全和肺动脉高压的程度相关。作者将膈神经皮下电刺激纳入无循环失代偿临床表现的COB患者的综合治疗中。与循环失代偿的COB患者对该治疗无反应不同，这些患者从刺激中获益。
