@文章{Siafakas109，作者= {Siafakas, NM和Argyrakopoulos, T和Andreopoulos, K和Tsoukalas, G和Tzanakis, N和Bouros, D}，标题={连续动态腹膜透析(CAPD)期间的呼吸肌力量}，体积={8}，数量={1}，页数={109—113}，年份={1995}，出版商={欧洲呼吸学会}，188bet官网地址本研究旨在探讨慢性肾功能衰竭(CRF)和连续非卧床腹膜透析(CAPD)对呼吸肌肉功能的影响。通过测量26例患者在最大静态吸气(PIMAX)接近残气量(RV)和呼气(PEMAX)接近总肺活量(TLC)时的口压来评估整体呼吸肌力量。分别在透析前、2 l透析液进入腹腔4 h后和下次引流后测量最大压力、肺活量和肺体积。治疗前测定生化指标(尿素、肌酐、钠、钾、钙、磷)和血液学指标(血红蛋白(Hb)、红细胞压积(Hct)) 1次。结果显示，CAPD前患者的平均PIMAX和PEMAX均正常，且患者间差异很大。然而，7名患者(27%)的预测pmax < 75% (pred)， 8名患者(31%)的pmax < 75% pred。CAPD期间最大压力显著下降，排液后再次升高。同样，CAPD前肺体积在正常范围内，CAPD时肺体积明显减小。1秒用力呼气量与用力肺活量(FEV1/FVC)之比无明显变化。 We conclude that respiratory muscle strength was preserved in the majority of the patients with chronic renal failure treated with CAPD. During CAPD, lung volumes and respiratory muscle function were decreased, demonstrating an effect of the abdominal cavity on the mechanics of the respiratory system. However, the decrease in the maximum pressures was less than 20\%, indicating that CAPD is a safe procedure in patients without pre-existing pulmonary disease or uraemic pulmonary complications.(ABSTRACT TRUNCATED AT 250 WORDS)}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/8/1/109}, eprint = {//www.qdcxjkg.com/content/8/1/109.full.pdf}, journal = {European Respiratory Journal} }