颈部屈曲强度作为格林-巴利综合征插管需求的预测因子。

Q3 Medicine

Journal of Clinical Neuromuscular Disease Pub Date : 2022-03-01 DOI:10.1097/CND.0000000000000365

Lisa M Arnold, Michael K Hehir, Rup Tandan, Noah Kolb, Waqar Waheed

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引用次数: 3

摘要

目的:格林-巴利综合征(GBS)患者呼吸衰竭较为常见。用力肺活量(FVC)是监测GBS呼吸肌力的金标准。在某些临床情况下，FVC检测可能会延迟或无法获得，因此需要准确、快速和无设备的床边呼吸评估。方法:我们检查了23例GBS患者的颈部屈曲强度，作为后续插管需要的可能预测因素和FVC变化的预测因素。结果:颈部屈曲强度医学研究委员会分级≤3级的患者100%需要插管。颈部屈曲强度与FVC之间的相关性无法确定。结论:入院时颈部屈曲明显无力(医学研究委员会分级≤3级)与GBS患者的呼吸状态不良相关，通过需要插管来衡量。

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Neck Flexion Strength as a Predictor of Need for Intubation in Guillain-Barre Syndrome.

Objectives: Respiratory failure in Guillain-Barre syndrome (GBS) is common. Forced vital capacity (FVC) is the gold standard for monitoring respiratory muscle strength in GBS. In some clinical situations, FVC testing could be delayed or unavailable, thus there is a need for accurate, fast, and device-free bedside respiratory evaluation.

Methods: We examined neck flexion strength in 23 GBS patients as a possible predictor of the need for subsequent intubation and as a predictor of FVC change.

Results: Intubation was required by 100% of patients with neck flexion strength of Medical Research Council grade ≤3. A correlation between neck flexion strength and FVC could not be determined.

Conclusions: Significant weakness of neck flexion (Medical Research Council grade ≤3) at the time of admission correlates with poor respiratory status as measured by the need for intubation in patients with GBS.

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来源期刊

Journal of Clinical Neuromuscular Disease Medicine-Medicine (all)

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Journal of Clinical Neuromuscular Disease provides original articles of interest to physicians who treat patients with neuromuscular diseases, including disorders of the motor neuron, peripheral nerves, neuromuscular junction, muscle, and autonomic nervous system. Each issue highlights the most advanced and successful approaches to diagnosis, functional assessment, surgical intervention, pharmacologic treatment, rehabilitation, and more.