The Evaluation of Referance Values for Diaphragmatic Excursion in Turkish Population
Background: The diaphragm is the largest respiratory muscle that contributes to the respiratory work. The aim of this study was to measure the diaphragm excursion, which shows diaphragm function in healthy volunteers, and to determine the reference values in the Turkish population.
Material-Methods: This cross-sectional descriptive study was carried out at a university hospital between 01.01-01.04.2019. Two hundred and thirthy (230) healthy subjects had no history of pulmonar or neuromusculary disease were included in the study. Age, sex and diaphragmatic excursion measurements of subjects were recorded. Measurements were obtained by lung silhouette, anterior and Right Hemidiaphmgm and Left Hemidiaphragm Ultrasonographic Method with M Mode. p<0.05 was considered statistically significant.
Results: 230 healthy subjects were included in the study. The male/female ratio was 1.04. No statistically significant difference was found between male and female in terms of age and body mass index. It is concluded that there were statistically significant higher LungSilR, Ant Ax. B Mode R, Ant Ax. B Mode L, Ant. Ax. M Mode R, Ant. Ax. M Mode L of male than female sex. There were a significantly strong positive association between LungSilR and LungSilL, Ant Ax. B Mode R and Ant Ax. B Mode L, Ant. Ax. M Mode R and Ant. Ax. M Mode L.There were a significantly strong positive association between LungSilR and Ant Ax. B Mode R, LungSilL and Ant Ax. B Mode L; significantly weak association between LungSilR and Ant Ax. M Mode R, Ant Ax. B Mode R and Ant. Ax. M Mode R, LungSilL and Ant Ax. M Mode L, Ant Ax. B Mode L and Ant. Ax. M Mode L.
Conclusion: It was concluded that diaphragmatic excursion in theTurkish population was 55.9 - 62 mm in female sex and 67.1 - 71 mm in male sex, since it was found that there was no obstacle in the creation of reference values due to changes in measurement methods and direction, and correlation was found in all methods and right-left measurements for diaphragmatic excursion results.
Eurasian J Critical Care. 2019;1(2):65-70 EJCC