| 宋佳苧,苏强,徐磊,于灿灿,宋晓东,王敏.渐进抗阻吸气肌训练对脑卒中患者肺功能与膈肌功能影响的临床研究[J].中国康复,2024,39(8):465-469 |
| 渐进抗阻吸气肌训练对脑卒中患者肺功能与膈肌功能影响的临床研究 |
| Effect of progressive resistance inspiratory muscle training on pulmonary and diaphragmatic function changes in stroke patients |
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| DOI：10.3870/zgkf.2024.08.004 |
| 中文关键词: 脑卒中 渐进抗阻吸气肌训练 膈肌功能 肺功能 |
| 英文关键词: stroke progressive resistance inspiratory muscle training diaphragm function lung function |
| 基金项目:安徽省中医药传承创新科研项目（2020zcyb18）；安徽省临床医学研究转化专项项目（202304295107020085）；安徽省中医药领军人才建设项目［（康复)（2018-23-1)］ |
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| 中文摘要: |
| 目的：探讨渐进抗阻吸气肌训练对脑卒中患者肺功能与膈肌功能改善的疗效，为促进脑卒中患者呼吸康复提供依据。方法：选取118例脑卒中患者为研究对象，随机分为对照组和研究组各59例。对照组给予常规呼吸训练（腹式缩唇呼吸训练、叩击排痰训练、胸廓松动训练），研究组给予渐进抗阻吸气肌训练，共4周。比较2组患者干预前后的肺功能与膈肌功能的变化，包括用力肺活量（FVC）、第1秒用力呼气量（FEV1）、第1秒用力呼气量/用力肺活量（FEV1/FVC）与呼气流量峰值（PEF）、最大吸气压（MIP）、吸气末膈肌厚度（DTei）、呼气末膈肌厚度（DTee）、膈肌增厚率（DTF）与膈肌活动度。结果：干预4周后，2组患者FVC、FEV1、FEV1/FVC、PEF、MIP值均高于干预前，且研究组高于对照组（均P<0.05）；2组患者DTei、DTF值与膈肌活动度均大于治疗前，且研究组大于对照组（均P<0.05），但2组患者治疗后DTee的组间比较差异无统计学意义。结论：渐进抗阻吸气肌训练较常规呼吸训练改善脑卒中患者肺功能和膈肌功能效果更为显著。 |
| 英文摘要: |
| Objective: To explore the efficacy of progressive resistance inspiratory muscle training on lung function and diaphragm function in stroke patients, and to provide a basis for promoting respiratory rehabilitation in stroke patients. Methods: A total of 118 stroke patients were selected for the study and randomly divided into the control group (n=59) and the experimental group (n=59). The control group was given conventional respiratory training (abdominal lip-contraction breathing training, percussion expectoration training, thoracic release training), and the experimental group was given progressive resistance inspiratory muscle training for 30 min every time, twice a day, and 6 days every week for 4 weeks. The pulmonary ventilation indexes of the 2 groups before and after intervention were compared: forceful lung volume (FVC), forceful expiratory volume in the first second (FEV1), FEV1/FVC with peak expiratory flow (PEF); inspiratory muscle function: maximal inspiratory pressure (MIP); diaphragm function: diaphragm thickness at the end of inhalation (DTei), diaphragm thickness at the end of exhalation (DTee), diaphragm thickening rate (DTF) and diaphragm mobility profile. Results:After intervention, all pulmonary ventilation indexes (FVC, FEV1, FEV1/FVC, PEF) and inspiratory muscle function (MIP) in the 2 groups were better than those before treatment, and at the same time, those in the experimental group were significantly better than in the control group (P<0.001); DTei, DTF and diaphragm mobility in the 2 groups were higher than those before treatment, and all of the above diaphragm functions in the experimental group were significantly better than in the control group (P<0.05). However, there was no statistically significant difference in the intergroup comparison of DTee after treatment in the 2 groups. Conclusion: Progressive resistance inspiratory muscle training improves lung function and diaphragm function more significantly than conventional respiratory training in stroke patients. |
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