文章摘要
孙亚鲁,李响,张洪蕊,杨帅.进行性呼吸肌训练对脑卒中偏瘫患者功能康复的研究[J].中国康复,2021,36(1):17-20
进行性呼吸肌训练对脑卒中偏瘫患者功能康复的研究
Functional rehabilitation of stroke patients with hemiplegia by progressive respiratory muscle training
  
DOI:
中文关键词: 进行性呼吸肌训练  脑卒中  肺功能  运动功能
英文关键词: progressive respiratory muscle training  stroke  pulmonary function  motor function
基金项目:
作者单位
孙亚鲁 济宁医学院附属医院山东 济宁 272000 
李响 济宁医学院附属医院山东 济宁 272000 
张洪蕊 济宁医学院附属医院山东 济宁 272000 
杨帅 济宁医学院附属医院山东 济宁 272000 
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中文摘要:
  目的:观察进行性呼吸肌训练对脑卒中偏瘫患者肺功能及运动功能的影响。方法:将50例脑卒中偏瘫患者随机分为对照组和观察组,每组各25例。对照组给予常规康复训练,观察组在此基础上给予进行性呼吸肌训练。分别于治疗前、治疗6周后对2组患者的肺功能、躯干控制功能、平衡功能及运动功能进行评估。结果:治疗6周后,2组患者的用力肺活量(FVC)、1s用力肺活量(FEVl)以及峰值呼气流速(PEF)、Sheikh躯干控制评分量表(TCT)、Berg平衡量表(BBS)和Fugl-Meyer运动功能评分量表(FMA)评分均较治疗前明显提高(均P<0.05),且观察组的各项评分均高于对照组(均P<0.05)。相关性分析结果显示,肺功能与TCT、BBS及FMA评分呈正相关(P<0.05)。结论:进行性呼吸肌训练联合常规康复可有效地改善脑卒中偏瘫患者的肺功能、躯干控制功能、平衡功能及运动功能,故在临床工作中应重视呼吸功能训练,以提高患者肺功能及日常生活活动能力。
英文摘要:
  Objective: To observe the effect of progressive respiratory muscle training on pulmonary function and motor function of stroke patients with hemiplegia. Methods: A total of 50 stroke patients with hemiplegia were randomly divided into control group (n=25) and observation group (n=25). The control group and observation group were given routine rehabilitation training, and the observation group was given progressive respiratory muscle training additionally. The pulmonary function, trunk control function, balance function and motor function of the two groups were evaluated before and 6 weeks after treatment. Results: There was no significant difference in forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEF), Sheikh trunk control scale (TCT), Berg balance scale (BBS) and Fugl-Meyer motor function scale (FMA) between the two groups before treatment. After 6 weeks of treatment, the pulmonary function indexes (FVC, FEV1 and PEF), TCT, BBS and FMA scores in the two groups were significantly higher than those before treatment (all P<0.05), and the scores in the observation group were higher than those in the control group (all P<0.05). The results of correlation analysis showed that pulmonary function was positively correlated with TCT, BBS and FMA scores (P<0.05). Conclusion: Progressive respiratory muscle training combined with routine rehabilitation can effectively improve the pulmonary function, trunk control function, balance function and motor function of stroke patients with hemiplegia. Therefore, more attention should be paid to respiratory function training in clinical work to improve patients' pulmonary function and activities of daily living.
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