| 华玲,王志,许忠梅,郝建凤,陆晓.阈值压力负荷吸气肌训练对帕金森病患者呼吸功能的影响[J].中国康复,2021,36(9):538-541 |
| 阈值压力负荷吸气肌训练对帕金森病患者呼吸功能的影响 |
| Effect of threshold pressure-loaded inspiratory muscle training on respiratory function in patients with Parkinson’s disease |
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| DOI： |
| 中文关键词: 帕金森病 阈值压力负荷训练器 吸气肌训练 肺功能 |
| 英文关键词: Parkinson’s disease threshold pressure load trainer inspiratory muscle training lung function |
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| 中文摘要: |
| 目的：观察阈值压力负荷吸气肌训练对帕金森病患者呼吸功能的影响。方法：48例帕金森病患者按随机数字表法分为对照组和观察组各24例。对照组给予常规康复训练，观察组在此基础上使用阈值压力负荷训练器进行吸气肌训练。治疗前和治疗8周后采用最大吸气压（MIP) 、吸气峰流速（PIF）评估患者吸气肌功能；用力肺活量（FVC）、第1秒用力呼气量（FEV1）、1秒率（FEV1 /FVC）、呼气流量峰值（PEF）评估患者肺功能。结果：治疗8周后，2组患者的MIP、PIF、FVC、FEV1、PEF均较治疗前明显提高(均P＜0.05），且观察组以上指标均优于对照组(均P＜0.05）；2组的FEV1/FVC较治疗前均明显提高(均P＜0.05），但治疗后组间比较差异无统计学意义。结论：在常规康复治疗基础上联合使用阈值压力负荷训练器进行吸气肌训练可以有效提高帕金森病患者的吸气肌力量，改善肺功能。 |
| 英文摘要: |
| Objective: To observe the effect of inspiratory muscle training with threshold pressure load trainer on respiratory function in patients with Parkinson’s disease. Methods: Totally, 48 patients with Parkinson’s disease were randomly divided into treatment group and control group, 24 cases in each group. The control group was given routine rehabilitation training. On this basis, the treatment group was subjected to the threshold pressure load trainer for inspiratory muscle training additionally. Before and after 8 weeks of treatment, the maximum inspiratory pressure (MIP) and peak inspiratory flow (PIF) were used to evaluate the inspiratory muscle function. The forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), 1 second rate (FEV1/FVC) and peak expiratory flow (PEF) were used to evaluate pulmonary function. Results: After 8 weeks of treatment, the MIP, PIF, FVC, FEV1 and PEF in the two groups were significantly higher than those before treatment (all P＜0.05), and the above indexes in the treatment group were better than those in the control group (all P<0.05). FEV1/FVC after treatment in both groups were significantly higher than those before treatment (all P<0.05), but there was no significant difference between the two groups after treatment. Conclusion: Inspiratory muscle training using a threshold pressure load trainer in combination with conventional rehabilitation therapy can effectively improve inspiratory muscle strength and improve lung function in patients with Parkinson’s disease. |
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