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희귀ㆍ난치성 신경근육계 질환자의 호흡부전 관리 실태 조사

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dc.contributor.author강성웅-
dc.contributor.author김동현-
dc.contributor.author문재호-
dc.contributor.author박중현-
dc.contributor.author최원아-
dc.date.accessioned2015-04-23T16:54:20Z-
dc.date.available2015-04-23T16:54:20Z-
dc.date.issued2010-
dc.identifier.issn1225-584X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101451-
dc.description.abstractOBJECTIVE: To investigate the real condition of pulmonary rehabilitation for patients with advanced neuromuscular diseases (NMDs) on mechanical ventilation in Korea. METHOD: In order to estimate current state of pulmonary rehabilitative management, chart review and pulmonary function evaluation were conducted in a total of 267 NMD patients who had applied mechanical home ventilator in our center from March 2001 to December 2008. RESULTS: Total 267 patients were included: 95 with Duchenne muscular dystrophy, 69 with other types of myopathy, 83 with amyotrophic lateral sclerosis (ALS), 20 with spinal muscular atrophy. Among them, 18 who were previously intubated and 17 patients who had undergone tracheostomy were switched into volume-limited non-invasive ventilation (NIV). At the time of hospital discharge, 234 patients were applied NIV successfully. Twenty other patients who once used continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) ventilators inappropriately were switched into volume-limited NIV. However, 20 patients who had successfully applied NIV first underwent tracheostomy due to exacerbation of underlying disease. CONCLUSION: Adequate pulmonary management is the only promising method to prevent lethal complications, and to prolong life span of advanced NMD patients. We assume that more NMD patients can improve their quality of life and prolong their life through proper pulmonary rehabilitation including regular pulmonary function check-ups and ventilatory state monitoring as well as early NIV application.-
dc.description.statementOfResponsibilityopen-
dc.format.extent347~354-
dc.relation.isPartOfJournal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title희귀ㆍ난치성 신경근육계 질환자의 호흡부전 관리 실태 조사-
dc.title.alternativeA Research on the Management of Ventilatory Insufficiency in Patients with Neuromuscular Diseases-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Rehabilitation Medicine (재활의학)-
dc.contributor.googleauthor김동현-
dc.contributor.googleauthor강성웅-
dc.contributor.googleauthor최원아-
dc.contributor.googleauthor문재호-
dc.contributor.googleauthor백종훈-
dc.contributor.googleauthor최승호-
dc.contributor.googleauthor박중현-
dc.contributor.googleauthor신용범-
dc.contributor.googleauthor서정환-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00414-
dc.contributor.localIdA00041-
dc.contributor.localIdA01377-
dc.contributor.localIdA01682-
dc.contributor.localIdA04125-
dc.relation.journalcodeJ01803-
dc.subject.keywordNeuromuscular disease-
dc.subject.keywordNon-invasive ventilation-
dc.subject.keywordPulmonary rehabilitation-
dc.subject.keywordMechanical ventilation-
dc.contributor.alternativeNameKang, Seong Woong-
dc.contributor.alternativeNameKim, Dong Hyun-
dc.contributor.alternativeNameMoon, Jae Ho-
dc.contributor.alternativeNamePark, Jung Hyun-
dc.contributor.alternativeNameChoi, Won Ah-
dc.contributor.affiliatedAuthorKim, Dong Hyun-
dc.contributor.affiliatedAuthorKang, Seong Woong-
dc.contributor.affiliatedAuthorMoon, Jae Ho-
dc.contributor.affiliatedAuthorPark, Jung Hyun-
dc.contributor.affiliatedAuthorChoi, Won Ah-
dc.citation.volume34-
dc.citation.number3-
dc.citation.startPage347-
dc.citation.endPage354-
dc.identifier.bibliographicCitationJournal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지), Vol.34(3) : 347-354, 2010-
dc.identifier.rimsid51065-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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