文章摘要
刘金明,章志超,马艳.呼吸训练对脑卒中患者步行功能的临床疗效观察[J].中国康复,2019,34(1):3-6
呼吸训练对脑卒中患者步行功能的临床疗效观察
Clinical Effectiveness of Breathing Exercises on Walking Function of Stroke Patients
  
DOI:
中文关键词: 呼吸训练  脑卒中  步行功能
英文关键词: breathing exercise  stroke  walking function
基金项目:湖北省自然科学基金一般项目(2012FFB05801)
作者单位
刘金明 武汉市第一医院康复医学科武汉 430030 
章志超 武汉市第一医院康复医学科武汉 430030 
马艳 武汉市第一医院康复医学科武汉 430030 
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中文摘要:
  目的:观察呼吸训练对脑卒中患者步行功能的临床疗效。方法:将脑卒中患者48例随机分为观察组和对照组,每组24例。对照组患者给予常规康复治疗,观察组在此基础上辅以呼吸功能训练。于治疗前、治疗8周后分别采用简化Fugl Meyer评定下肢部分(FMA LE)、Berg平衡量表(BBS)、Tinetti步态量表、Holden步行功能分级量表(FAC)、10m行走时间测试(10MWT)、6min步行测试(6MWT)来进行疗效评定;同时对2组患者治疗前、后进行用力肺活量(FVC)、1s用力肺活量(FEV1)及呼气峰流速(PEF)指标进行检测。结果:治疗8周后,2组患者FMA LE、BBS、Tinetti、6MWT及Holden步行功能分级评分均较治疗前有明显提高及改善(P<0.01,0.05),观察组各项评分明显优于对照组(P<0.01,0.05);治疗后2组10MWT明显降低(均P<0.01),观察组更低于对照组(P<0.01)。治疗8周后,观察组FVC、FEV1及PEF较治疗前及对照组均明显提高(均P<0.05﹚。结论:在常规康复治疗基础上辅以呼吸训练,提高了患者的下肢运动功能、平衡能力、步态、心肺功能等,从而改善脑卒中恢复期患者的步行能力。
英文摘要:
  Objective: To observe the effect of breathing training combined with exercise therapy on walking function in stroke patients. Methods: Forty eight stroke survivors were divided into a control group and a training group, 24 cases in each group. The control group was given routine rehabilitation treatment, and the training group received breathing training, once a day. Before and 8 weeks after treatment, the simplified Fugl Meyer was used to assess the lower limbs (FMA LE), and Berg Balance Scale (BBS), Tinetti Gait Scale, Holden Walk Ambulatory Caregorg, Walking time test (10MWT), 6 Minute Walk Distance Test (6MWT) to assess the efficacy. At the same time, FVC, FEV1 and PEF were measured in two groups before and after treatment. Results: After 8 weeks, the scores of FMA LE, BBS, Tinetti, Holden Walk Ambulatory Caregorg, 10MWT and 6MWT in both groups were significantly higher than those before treatment (P<0.05). The FVC, FEV1 and PEF in the observation group were significantly improved after treatment as compared with the control group before treatment (P<0.05). Conclusion: Supplementary breathing exercises on the basis of conventional rehabilitation therapy can improve the patient's lower extremity motor function, balance ability, gait, cardiopulmonary function, etc., so as to improve the walking function of stroke recovery patients.
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