CAJ | 학술논문

COPD是我国常见的呼吸系统疾病,常伴有骨骼肌功能异常等全身反应.神经肌肉电刺激是肺康复锻炼治疗的一种手段,已经在小范围内应用于COPD急性加重患者早期的康复治疗.其主要是针对膈肌的刺激,常用的方法有膈肌体内起搏及体外起搏.电刺激通过激活肌纤维运动单元和脊髓神经元再下调运动神经而发挥作用,使特定的肌群被动地节律性收缩;电刺激还改善肌肉的血液循环和淋巴回流,保证肌肉的正常代谢等作用,延迟其萎缩.本文介绍COPD急性加重期患者膈肌功能异常及相关机制、神经肌肉电刺激对膈肌的治疗作用以及方法学,旨在提高神经肌肉电刺激的认识,促进COPD康复治疗技术的发展.
COPD시아국상견적호흡계통질병,상반유골격기공능이상등전신반응.신경기육전자격시폐강복단련치료적일충수단,이경재소범위내응용우COPD급성가중환자조기적강복치료.기주요시침대격기적자격,상용적방법유격기체내기박급체외기박.전자격통과격활기섬유운동단원화척수신경원재하조운동신경이발휘작용,사특정적기군피동지절률성수축;전자격환개선기육적혈액순배화림파회류,보증기육적정상대사등작용,연지기위축.본문개소COPD급성가중기환자격기공능이상급상관궤제、신경기육전자격대격기적치료작용이급방법학,지재제고신경기육전자격적인식,촉진COPD강복치료기술적발전.
Chronic obstructive pulmonary disease (COPD) is a common respiratory disease in China,constantly accompanying some general reaction like skeletal muscle dysfunction.Neuromuscular electrical stimulation is a kind of pulmonary rehabilitation,which has applyed to curing patients of early acute exacerbation of COPD on a small scale.It usually contains implanted diaphragm pecemaker and external diaphragm pacemaker,both of which are aim at diaphragm.The electrical stimulation works through activating muscle fiber motoneuron and lower motor neuron of spinal nearons,driving the specific muscle group into rhythmic contraction passively.In addition,the electrical stimulation improves blood circulation and lymphatic return of muscle group,assuring normal metabolism and delaying amyotrophy.This article introduces skeletal muscle dysfunction and its related mechanism of AECOPD patients,as well as how neuromuscular electrical stimulation help curing diaphragmatic atrophy and the specific methods,intending to advance the cognition of neuromuscular electrical stimulation and promoting the development of COPD treatment.