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Rehabilitation Practice and Science

Translated Title

非侵襲性呼吸器－神經肌肉病變患者之另一種選擇

Abstract

Fifteen individuals with neuromuscular disease and ventilatory insufficiency received non-invasive respirator(NIR)for their respiratory failure, severe sleep disordered breathing, or respiratory distress. By providing the NIR, thirteen patients successfully maintained their ventilation for a mean duration of 13.5:t 11.8 months (range: 2 to 36); ten of them still used NIR effectively at .he time of report. The four patients failed in using NIR were all motor neuron disease. The reason for discontinuing NJR was difficulty in handling pulmonary secretions. After inducing NIR, the blood gas of our patients returned to normal limit (PaO2 67.2:t10.2 mmHg elevated to 90.7:t9.3 mmHg and PaCO2 from 74.0:t18.2 mmHg decreased to 45.7:t5.2 mmHg). At the time of using NIR, three patients could return to school; two resumed their work, and three retired but kept regular social life. Only one Patient must stayed in the hospital because of deterioration in respiratory function, and four patients became bed-ridden by their miserable limb weakness. All patients with NIR could communicate and feed by oral. No major complications occurred during the period of using NIR, except that four patients had profound sputum; one had pneumothorax; one was bothered by nasal obstruction; one had flatus, and three had nasal ridge skin ulcer. All the problems were relieved by conservative method without the necessity of discontinuing NIR. We believed that NIR was an alternative management with satisfactory efficiency and limited pitfalls for individuals with neuromuscular disease and respiratory insufficiency. (J Rehab Med Assoc ROC 1997; 25(1): 33-39)

Language

Traditional Chinese

First Page

33

Last Page

39

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