| 林夏妃,吴海霞,史静琴,宋振华.吸气肌训练对脑卒中患者呼吸功能和下肢运动功能的影响[J].中国康复,2022,37(5):279-283 |
| 吸气肌训练对脑卒中患者呼吸功能和下肢运动功能的影响 |
| Effects of Inspiratory Muscle Training on Respiratory function and Lower Limb Motor Function in Patients with Stroke |
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| DOI： |
| 中文关键词: 脑卒中 吸气肌训练 最大吸气压 肺功能 下肢运动功能 |
| 英文关键词: stroke inspiratory muscle training maximum suction pressure pulmonary function lower limb motor function |
| 基金项目:海南省卫生健康行业科研项目（20A200061） |
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| 中文摘要: |
| 目的：探讨吸气肌训练应用于脑卒中患者康复治疗中的效果。方法：将84例脑卒中患者按随机数字表法分为观察组和对照组各42例，对照组接受脑血管病常规药物治疗和常规康复训练，观察组在此基础上予以吸气肌训练，疗程均为6周。比较2组治疗前后最大吸气压（MIP）、吸气峰值流速（PIF）和吸气肌能量（Energy）、用力肺活量（FVC）、第1秒用力呼气量（FEV1）和每分钟最大通气量（MVV），比较2组Berg平衡量表（BBS）评分、Fugl-Meyer量表下肢部分（FMA-LE）评分、日常生活活动能力（ADL）评分，比较2组步幅、步频和步速。结果：治疗后观察组MIP、PIF、Energy、FVC、FEV1、MVV均高于对照组（P<0.01），且高于本组治疗前（P<0.01）；对照组治疗前后MIP、PIF、Energy、FVC、FEV1、MVV差异无统计学意义。治疗后2组BBS、FMA-LE、ADL评分及步幅、步频和步速均显著增加（P<0.05，0.01），观察组各项指标均高于对照组（P<0.01）。结论：吸气肌训练可改善脑卒中患者吸气肌力量、肺功能和下肢运动功能，提高日常生活活动能力，应用于脑卒中偏瘫患者的康复治疗效果显著。 |
| 英文摘要: |
| Objective：To explore the effect of inspiratory muscle training in the rehabilitation of stroke patients. Methods：A total of 84 stroke patients were randomly divided into observation group (42 cases) and control group (42 cases). The control group received routine drug treatment and routine rehabilitation training for cerebrovascular diseases. On this basis, the observation group received inspiratory muscle training for 6 weeks. The maximum inspiratory pressure (MIP), peak inspiratory flow rate (PIF), inspiratory muscle energy (Energy), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and maximum ventilation per minute (MVV) were compared between the two groups before and after treatment; The scores of Berg Balance Scale (BBS), Fugl Meyer scale lower limb part (FMA-LE) and activities of daily living (ADL) were compared between the two groups, and the stride length, stride frequency and stride speed of the two groups were compared. Results：MIP, PIF, Eenergy, FVC, FEV1 and MVV in the observation group were higher than those in the control group after treatment (P<0.01), and higher than those before treatment (P<0.01). There was no significant difference in MIP, PIF, Energy, FVC, FEV1 and MVV in the control group before and after treatment. After treatment, the scores of BBS, FMA-LE, ADL, stride length, stride frequency and stride speed in the two groups increased significantly (P<0.05,0.01). All indexes in the observation group were better than those in the control group (P< 0.01). Conclusion：Inspiratory muscle training can improve inspiratory muscle strength, lung function and lower limb motor function, and improve ADL in patients with stroke. The rehabilitation treatment effect of patients with hemiplegia is remarkable. |
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