The study of the diaphragm is an important point in the assessment of COPD patients. Ultrasonographic evaluation of the diaphragm is considered a simple, non-invasive, available bedside technique. Ultrasonography can be used for evaluation of the site, structure, and motion of the diaphragm, assessment of excursion, and thickness. The aim of the study is ultrasonographic assessment of the diaphragm in COPD patients and its relation to disease severity
The study was conducted on eighty patients, forty COPD patients who were diagnosed and classified into four groups according as following: The first group: included 10 patients with a mild stage. The second group: included 10 patients with a moderate stage. The third group: included 10 patients with a severe stage. The fourth group: included 10 patients with a very severe stage. The study also included forty healthy individuals of the same age and sex as COPD patients. All participants gave their informed consent for inclusion before sharing in the study. Every person was submitted to: Full medical history, Clinical examination,Chest x-ray, spirometry and ultrasonographic assessment of diaphragm function (thickness and excursion)
Study Type
OBSERVATIONAL
Enrollment
80
ultrasound assessment of diaphragm function
Fayoum University Hospital
Al Fayyum, Egypt
measure diaphragmatic thickness by ultrasound
measure diaphragmatic thickness at total lung capacity and residual volume in millimetres to calculate diaphragm thickness fraction
Time frame: 1 year study
measure diaphragm excursion by ultrasound
measure diaphragm excursion in centimetres at zone of apposition
Time frame: 1 year study
spirometry assessment
value of forced expiratory volume in first second is assessed as a percentage of normal by spirometry to assess disease severity
Time frame: 1 year study
questionnaires
( modified medical research council and chronic obstructive pulmonary disease assessment test) to detect severity of the disease
Time frame: 1 year study
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