Ultrasound assessment of diaphragm thickness in COPD

Eryüksel, Semiha Emel; KARAKURT, SAİT; Bekir Külah, Melahat; CİMŞİT, Canan

Ultrasound assessment of diaphragm thickness in COPD

Canan CİMŞİT, (Department of Radiology, School of Medicine, Marmara University Training and Research Hospital, Istanbul, Turkey)

Melahat BEKİR, (Department of Pulmonary and Critical Care Medicine, School of Medicine, Marmara University Training and Research Hospital, Istanbul, Turkey)

Sait KARAKURT, (Department of Pulmonary and Critical Care Medicine, School of Medicine, Marmara University Training and Research Hospital, Istanbul, Turkey)

Emel ERYÜKSEL (Department of Pulmonary and Critical Care Medicine, School of Medicine, Marmara University Training and Research Hospital, Istanbul, Turkey)

Marmara Medical Journal

3 0

Yıl: 2016 Cilt: 29 Sayı: 1 Sayfa Aralığı: 8 - 13 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Ultrasound assessment of diaphragm thickness in COPD

Öz:

Amaç: Kronik obstrüktif akciğer hastalığı (KOAH) olan hastaların, diyafram kalınlıklarının ultrasonografi ile ölçülerek solunum fonksiyon testleri ve semptom skorları ile ilişkisinin araştırılmasıdır. Hastalar ve Yöntem: KOAH nedeniyle takip edilmekte olan, son iki aydır klinik olarak stabil seyirli 53 hasta çalışmamıza dahil edildi. Bronkodilatör sonrası 1 saniyedeki zorlu ekspiryum volum (%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 kronik obstüriktif akciğer hastalığına karşı global işbirliği (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<0,05). Diyafram kalınlığı ile GOLD alt grupları, semptom skorları, vücut kitle indeksi (VKİ), yaş ve cinsiyet gibi parametreler arasında anlamlı ilişki bulunamadı. Sonuç: KOAH hastalarında ultrasonografi ile ölçülen diyafram kalınlığı ile solunum fonksiyon testleri arasında hafif KOAH'lı hasta grubu haricinde anlamlı ilişki gösterilememiştir. Diyafram kalınlığı ile semptom skorları arasında anlamlı ilişki bulunamadı. Ultrasonografi ile planlanacak yeni çalışmalarda, KOAH alt gruplarında diyafram fonksiyonunu yansıtacak diyafram kalınlık oranları irdelenmelidir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

KOAH'ta diyafragm kalınlığının ultrasonografi ile değerlendirilmesi

Öz:

Objective: Thickness of the diaphragm was evaluated by B-mode ultrasonography (US) in chronic obstructive pulmonary disease (COPD) to determine the relationship between diaphragm thickness measurement, pulmonary function tests, and symptom scores. Patients and Methods: Fifty-three clinically stable patients with COPD were enrolled in this study for diaphragmatic thickness evaluation with B- mode US. The severity of COPD was determined by spirometric measurements in terms of forced expiratory volume in one second (FEV1%). Patients were also analyzed according to the global initiative for chronic obstructive lung disease (GOLD) criteria. Correlation between diaphragm thickness and symptom scores like modified Medical research Council (mMrC), COPD Assessment Test (CAT), composite scores and body mass index (BMI) were sought. Results: There was a moderate correlation between diaphragmatic muscle thickness and FEV1% in mild COPD patients (r=0.62, p=0.017<0.05). No significant difference in diaphragmatic thicknesses of GOLD subgroups was found. There were no correlations between diaphragmatic muscle thickness, symptom scores, BMI age, and gender.Conclusion: No correlation was found between diaphragmatic thickness in COPD patients and pulmonary function tests except for FEV1% in mild COPD patients. There were no correlations between diaphragmatic muscle thickness and symptom scores. Further US studies should take place for functional evaluation of the diaphragm in COPD subgroups.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	CİMŞİT C, Bekir Külah M, KARAKURT S, Eryüksel S (2016). Ultrasound assessment of diaphragm thickness in COPD. , 8 - 13.
Chicago	CİMŞİT Canan,Bekir Külah Melahat,KARAKURT SAİT,Eryüksel Semiha Emel Ultrasound assessment of diaphragm thickness in COPD. (2016): 8 - 13.
MLA	CİMŞİT Canan,Bekir Külah Melahat,KARAKURT SAİT,Eryüksel Semiha Emel Ultrasound assessment of diaphragm thickness in COPD. , 2016, ss.8 - 13.
AMA	CİMŞİT C,Bekir Külah M,KARAKURT S,Eryüksel S Ultrasound assessment of diaphragm thickness in COPD. . 2016; 8 - 13.
Vancouver	CİMŞİT C,Bekir Külah M,KARAKURT S,Eryüksel S Ultrasound assessment of diaphragm thickness in COPD. . 2016; 8 - 13.
IEEE	CİMŞİT C,Bekir Külah M,KARAKURT S,Eryüksel S "Ultrasound assessment of diaphragm thickness in COPD." , ss.8 - 13, 2016.
ISNAD	CİMŞİT, Canan vd. "Ultrasound assessment of diaphragm thickness in COPD". (2016), 8-13.

APA	CİMŞİT C, Bekir Külah M, KARAKURT S, Eryüksel S (2016). Ultrasound assessment of diaphragm thickness in COPD. Marmara Medical Journal, 29(1), 8 - 13.
Chicago	CİMŞİT Canan,Bekir Külah Melahat,KARAKURT SAİT,Eryüksel Semiha Emel Ultrasound assessment of diaphragm thickness in COPD. Marmara Medical Journal 29, no.1 (2016): 8 - 13.
MLA	CİMŞİT Canan,Bekir Külah Melahat,KARAKURT SAİT,Eryüksel Semiha Emel Ultrasound assessment of diaphragm thickness in COPD. Marmara Medical Journal, vol.29, no.1, 2016, ss.8 - 13.
AMA	CİMŞİT C,Bekir Külah M,KARAKURT S,Eryüksel S Ultrasound assessment of diaphragm thickness in COPD. Marmara Medical Journal. 2016; 29(1): 8 - 13.
Vancouver	CİMŞİT C,Bekir Külah M,KARAKURT S,Eryüksel S Ultrasound assessment of diaphragm thickness in COPD. Marmara Medical Journal. 2016; 29(1): 8 - 13.
IEEE	CİMŞİT C,Bekir Külah M,KARAKURT S,Eryüksel S "Ultrasound assessment of diaphragm thickness in COPD." Marmara Medical Journal, 29, ss.8 - 13, 2016.
ISNAD	CİMŞİT, Canan vd. "Ultrasound assessment of diaphragm thickness in COPD". Marmara Medical Journal 29/1 (2016), 8-13.