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인공호흡긴[ventilator]를 사용하는 중환자의 사지둘레와 사지근육면적 변화에 관한 연구
Study on the Changes in Limb Circumferences and Muscle Areas of Critically Ill Patients using Ventilators

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Authors
황영희; 최명애
Issue Date
2008-12-31
Publisher
한국간호과학회 = Korean Society of Nursing Science
Citation
Journal of Korean Academy of Nursing, 38, 874-880
Keywords
사지 둘레사지 근육면적중환자근이완제스테로이드Muscular atrophyVentilators-mechanicalCritically ill patientsNeuromuscular agentsSteroids
Abstract
Purpose: The purpose of this study was to identify muscle atrophy in critically ill patients on ventilators. A comparison
was made between limb circumferences and muscle areas on the day of admission to an intensive care unit (ICU) and
on the 8th day after admission. Methods: The data were collected from 30 critically ill patients using ventilators at S hospital
ICU in Seoul during the period from October 2005 to April 2006. Limb circumferences and skinfold thickness were measured
on the day of admission and on the 8th day after admission to the ICU. Limb circumferences and skinfold thickness
were measured on the right mid-arm, right mid-thigh, and right mid-calf using a measuring tape and a skinfold calipers. Limb
muscle areas were calculated by an equation after measuring limb circumferences and skinfold thickness. The data were
analyzed by paired t-test and independent t-test. Results: 1) Mid-arm circumference, mid-thigh circumference and mid-calf
circumference on the 8th day after admission to the ICU were significantly less than those on the day of admission to the
ICU, 2) Mid-arm muscle area, mid-thigh muscle area and mid-calf muscle area on the 8th day after admission to the ICU
were significantly less than those on the day of admission to the ICU, 3) Steroid and vecuronium medication didn’t affect
changes in limb circumferences (mid-arm, mid-thigh, mid-calf) and muscle areas (mid-arm, mid-thigh, mid-calf) on the 8th
day after admission to the ICU compared to the day of admission. Conclusion: Limb muscle atrophy may occur on the
8th day after admission to the ICU in critically ill patients using ventilator.
ISSN
1598-2874
Language
Korean
URI
http://hdl.handle.net/10371/9378
DOI
https://doi.org/10.4040/jkan.2008.38.6.874
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College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
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