中国康复理论与实践2026，Vol.32Issue(5)：571-576,6.DOI:10.3969/j.issn.1006-9771.2026.05.007
基于电阻抗断层成像技术评估膈神经-腹肌电刺激对脑卒中患者肺通气分布的效果
Effect of phrenic nerve-abdominal muscle electrical stimulation on pulmonary ventilation distribution in stroke patients:a study with electrical impedance tomography
摘要
Abstract
Objective To quantitatively evaluate the effect of phrenic nerve-abdominal muscle electrical stimulation on pulmonary ventilation distribution in stroke patients using electrical impedance tomography(EIT). Methods Thirty-five stroke patients were enrolled at the First Affiliated Hospital of Chongqing Medical University from September,2024 to June,2025,and all received standardized phrenic nerve-abdominal muscle electrical stimula-tion.Percentage of ventilation in gravity-dependent regions of interesting(ROI%),center of ventilation(COV),global inhomogeneity index(GI)and change in end-expiratory lung impedance(ΔEELI)were measured with EIT monitoring before treatment(T0),immediately after treatment(T1),and at five,ten,15,20,25,30,40 and 50 minutes after treatment(T2 to T9). Results There were significant differences in ROI%(F=7.003,P<0.001)and COV(F=5.722,P<0.001)at different time points,both peaking at T1,followed by a downward trend until T5.No significant differences were ob-served in GI(F=1.849,P=0.097)and ΔEELI(F=0.208,P=0.871)across time points;however,GI at T7 was lower than that at T0(P<0.05). Conclusion Phrenic nerve-abdominal muscle electrical stimulation can improve the ventilation ratio in gravity-depen-dent regions and shift the center of ventilation dorsally.The improvement in ventilation distribution generally peaks at the end of treatment and lasts for approximately 20 minutes.关键词
脑卒中/肺康复/膈神经-腹肌电刺激/电阻抗断层成像技术Key words
stroke/pulmonary rehabilitation/phrenic nerve-abdominal muscle electrical stimulation/electrical impedance tomography分类
医药卫生引用本文复制引用
陈竹,翟丽茹,曹存霞,彭晓华,黄桃..基于电阻抗断层成像技术评估膈神经-腹肌电刺激对脑卒中患者肺通气分布的效果[J].中国康复理论与实践,2026,32(5):571-576,6.基金项目
重庆市科学技术局技术创新与应用发展专项重点项目(No.CSTB2021TIAD-KPX0054) Supported by Chongqing Municipal Science and Technology Bureau Technological Innovation and Application Development Special Program(Key)(No.CSTB2021TIAD-KPX0054) （No.CSTB2021TIAD-KPX0054）
