فعالية استخدام التهوية الرئوية غير الراضة في تدبير المشكلات التنفسية عند مرضى الشلل الرباعي

الملخص EN

Background& Objective: Evaluation of the clinical and laboratory efficiency of the utilization of noninvasive ventilation (NIV) in the treatment of respiratory complications in tetraplegic patients.

Patients: Eight patients with tetraplegia du spinal cord injuries between C3 and C7 and a level between A and C on ASIA score, who were treated by non-invasive ventilation during the period between 01/10/2009 and 30/04/2010.

Materials & Methods: A prospective study was done in the department of physical medicine and rehabilitation /spinal cord injuries unit, CHU Garche/Paris, the NIV was used during the night and 2 hours in the morning.

The gazometry, respiratory function exploration, and clinical status, of each patient were evaluated before and after an average of one week of the utilization of the treatment with NIV, Knowing that we continued to use this treatment after the end of this study.

Results: Amelioration in the blood gaze levels in six of patients and in the clinical status in all patients was remarked, whether no important changes were noticed in the vital capacity in most of patients which remained under the normal levels.

Conclusion: Non-invasive ventilation is not an etiological treatment, it is used to treat the consequences and respiratory complications in tetraplegic patients, and it's used to prevent the nocturnal hypoxia, acidose, and hypercapnia