Canan Cimsit, Canan CIMSIT, Melahat Bekir, Sait Karakurt, Sait KARAKURT, Emel ERYUKSEL, Emel Eryuksel

KOAH’ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi

Amaç: Kronik obstruktive akciğer hastalığı (KOAH) olan hastaların, diyafram kalınlıklarını ultrasonografi ile ölçerek solunum fonksiyon testleri ve semptom skorları ile ilişkisinin araştırılmasıdır. Gereç ve Yöntem: KOAH nedeniyle takip edilmekte olan, son iki aydır klinik olarak stabil seyirli 53 hasta çalışmamıza dahil edildi. Bronkodilatör sonrası FEV1 değerlerinde %12 artış, çalışmada uygulanan testlerden herhangi birine uyumsuzluk, oksijen bağımlılığı, abdominal ya da torasik cerrahi geçirme hikayeleri çalışmadan dışlanma kriterleri olarak belirlendi. KOAH düzeyi spirometri ölçümlerine ve GOLD kriterlerine göre sınıflandırıldı. Hayat kalitesi değerlendirmesi için mMRC ve CAT semptom skorları testleri ile kompozit KOAH skor ölçümü hesaplanması için alevlenme sayıları sorularak kaydedildi. Bulgular: KOAH düzeyi hafif olan hastalarda FEV1 % ile diyafram kalınlığı arasında anlamlı ilişki bulundu (r=0.62, p=0,017

Anahtar Kelimeler:

Diyafram, Ultrasonografi, Kronik obstrüktif akciğer hastalığı, Kalınlık

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