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为了评价心身障碍儿童的呼吸机能,作者以130例患儿为对像进行研究。男83例、女47例,年龄5～17岁(平均11.3±3.0岁)。原发病:脑性麻痹78例,肌病9例,脊椎裂7例及脑畸形、脑炎后遗症、脑外伤后遗症和脑血管等疾病。按运动水平将患儿分为3组:步行组49人,独坐组42人,卧床组39人。仰卧位安静状态下测定潮气量。对45例能测定肺活量者(步行组26人,独坐组17人,卧床组2人),于立位或坐位充分练习后取肺活量的最大值分别与潮气量进行比较。对安静卧床时潮气量200ml以下,每分钟呼吸30次者行动脉血气分析。结果潮气量平均值,步行组为0.365±0.01L,独坐组0.302±0.053L,卧床组0.225±0.053L,随
In order to evaluate the respiratory function of children with psychosomatic impairment, the authors studied 130 children. 83 males and 47 females, aged 5 to 17 years (mean 11.3 ± 3.0 years). Primary disease: Cerebral palsy in 78 cases, myopathy in 9 cases, 7 cases of spondylolysis and brain deformities, encephalitis sequelae, traumatic brain injury sequelae and cerebrovascular disease. According to the level of exercise, children were divided into 3 groups: walking group of 49 people, sitting alone group of 42 people, bedridden group of 39 people. Supine quiet state measured tidal volume. Of the 45 patients who were able to determine the vital capacity (26 in walking group, 17 in sitting group, and 2 in ambulatory group), the maximal vital capacity after standing or sitting position was compared with tidal volume respectively. On the quiet bed when the tidal volume 200ml following breathing 30 times per minute arterial blood gas analysis. Results Tidal volume average, walking group was 0.365 ± 0.01L, sitting group 0.302 ± 0.053L, bed group 0.225 ± 0.053L, with