下肢截肢者的心肺功能。

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-06-01 Epub Date: 2024-02-26 DOI:10.1097/MRR.0000000000000616
Loeke van Schaik, Ilse J Blokland, Klaske van Kammen, Han Houdijk, Jan H B Geertzen, Rienk Dekker
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引用次数: 0

摘要

本研究旨在了解下肢截肢(LLA)患者在康复期间的心肺功能情况,以及影响其心肺功能的潜在因素。我们利用心肺运动测试数据进行了一项回顾性队列研究。研究对象为患有 LLA 的成年人。主要结果是心肺功能,以氧气峰值(毫升/分钟/千克)表示,通过逐次呼吸气体分析直接测定。氧气峰值与健全对照组的参考值进行比较。为了研究与 LLA 患者氧气峰值相关的潜在因素,我们进行了多变量回归分析。潜在因素包括年龄、调整后的体重指数、性别、截肢程度、截肢病因、单侧/双侧、测力类型和使用β受体阻滞剂。本报告提供了 74 名 LLA 患者的数据;其中 84% 为男性(n = 62),平均年龄为 58.9 岁(标准差 11.6),平均体重指数为 26.7(标准差 5.6),44 名患者的 LLA 位于膝盖以上,30 名患者的 LLA 位于膝盖以下。与健全对照组的参考值相比,LLA 患者的总体氧气峰值较低,LLA 组的平均氧气峰值为 14.6 ± 4.1 毫升/千克/分钟。在多变量回归分析中,只有年龄能显著预测较低的氧气峰值(回归系数:-0.15,95% CI [0.23-0.069],r2 = 0.166)。这些结果表明,LLA 患者的心肺功能较低,而他们实际上需要更多的能量来行走和进行其他日常活动。心肺功能与所分析的人口统计或临床因素并无密切联系,因此在日常实践中必须根据个体情况来确定。
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Cardiorespiratory fitness in persons with lower limb amputation.

The aim of this study is to gain insight in the cardiorespiratory fitness of persons with lower limb amputation (LLA) during rehabilitation, and in potential factors influencing their cardiorespiratory fitness. We performed a retrospective cohort study using data from cardiopulmonary exercise tests. Included participants were adults with LLA. Main outcome was cardiorespiratory fitness expressed as O 2 peak (ml/min/kg) and was directly determined using breath-by-breath gas analysis. O 2 peak was compared to reference values for able-bodied controls. Multivariate regression analysis was performed to investigate potential factors related to O 2 peak in persons with LLA. Potential factors were age, BMI adjusted, gender, level of amputation, aetiology of amputation, unilateral/bilateral, type of ergometry and use of beta blockers. Data of 74 participants with LLA are presented; 84% male (n = 62), mean age 58.9 (SD 11.6), mean BMI 26.7 (SD 5.6), 44 participants have a LLA above the knee, 30 below the knee. Overall O 2 peak was lower in persons with LLA compared to reference values for able-bodied controls, with mean O 2 peak for the total LLA group of 14.6 ± 4.1 ml/kg/min. In the multivariate regression analysis, only age was a significant predictor for lower O 2 peak (regression coefficient: -0.15, 95% CI [0.23-0.069], r 2  = 0.166). These results indicate that the cardiorespiratory fitness in persons with LLA is low, while they actually need more energy to walk and perform other daily activities. Cardiorespiratory fitness is not closely associated with the analysed demographic or clinical factors and will have to be determined on an individual basis for use in daily practice.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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