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題 名 | 頸髓損傷後肺功能之追蹤 |
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作 者 | 鄭寶釵; 廖美雲; 林孟志; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 23:1 1995.06[民84.06] |
頁 次 | 頁37-43 |
分類號 | 415.945 |
關鍵詞 | 頸髓損傷; 肺功能測試; 肺功能異常; Cervical cord injury; Pulmonary function test; Abnormal pulmonary function; |
語 文 | 中文(Chinese) |
中文摘要 | 頸髓損傷患者常導致肺功能異常。本研究共收集了50例頸髓損傷併四肢機能障礙患者,分為兩組,A組26例,為頸髓損傷部位以下完全無運動機能者;B組24例,為受傷部以下還留存有部份運動機能者。二組患者分別在受傷後1個月、6個月及12個月接受肺功能測試。結果A組患者的平均用力肺活量(forced vital capacity, FVC),第一秒最大吐氣量(forced expiratory volume in first second, FEV1),最大呼氣量(peak expiratory flow, PEF)及用力呼氣中段流量(maximal mid-expiratory flow, MMEF)明顯的比B組為低(P<0.001),但FEV1/FVC%則正常。A則在受傷後一個月所測得的肺功能值與頸髓受傷部位的高低有關,受傷部位較高者,其肺功能較差,且在C5及C6之間有一明顯的分界點,即C5或C5以上受傷的患者,其FVC、FEV1、PEF及MMEF僅為正常預測值(%predict)的四分之一,明顯的比C6或C7受傷者(約為正常預測值的三分之一)為低,達統計學上有意義的差異。而B組在不同頸髓部位受傷,則無明顯差異現象。頸髓受傷後,患者的肺功能隨時間而改善,尤其在受傷後的6個月內,FVC、FEV1、PEF、MMEF均明顯改善(A組P<0.05, B組P<0.005)。在受傷後6個月至12個月之間,雖持續進步,但未達統計學上有意義的差異。若以A、B二組,其肺功能在追蹤測試時進步的百分比來比較則二組之間並無差異,P<0.05。 |
英文摘要 | Traumatic cervical cord injury with quadriplegia generally causes respiratory dysfunction. A total of 50 cervical cord injured patients were collected for study of their pulmonary function. They were divided into two groups. Twenty-six cases with complete motor paralysis below lesion site (Frankel A or B) were placed in Group A, the other 24 cases with incomplete motor function (Frankel C or D) were placed in Group B. Pulmonary function test was done by using spirometer at 1 month, 6 months and 12 months following cervical cord injury. The pulmonary function was significantly worse in Group A than in Group B. Lesion level was found to be correlated with pulmonary function in Group A. The lower the injury cord, the better the pulmonary function. Furthermore, there was a significant difference in pulmonary function between lesion sit above and below C5. The forced vital capacity (FVC), forced expiratory volume in 1st second (FEV1), speak expiratory flow (PEF) and mid maximal expiratory flow (MMEF) were around 33% of predicted normal value in patients with C6 or C7 lesion, but only around 25% of predicted normal value in those with C5 or above C5 lesion. In Group B, however, we failed to find any significant difference according to different lesion level. The effect of time on pulmonary function was determined by one way ANOVA. The FVC, FEV1, PEF and MMEF increased during the first year following cervical cord injury in both Group A and B. However, the improvement was shown statistically significant only during the first 6 months after injury. As for the amount of improvement attained during the time period studied, there was no significant difference between Group A and Group B. |
本系統中英文摘要資訊取自各篇刊載內容。