临床与病理杂志2023，Vol.43Issue(12)：2144-2149,6.DOI:10.11817/j.issn.2095-6959.2023.230222
缩唇呼吸训练联合多功能呼气阀锻炼在闭塞性细支气管炎患儿中的应用
Application of pursed-lip breathing training combined with multifunctional exhalation valve exercise in children with bronchiolitis obliterans
摘要
Abstract
Objective:Bronchiolitis obliterans in children is usually caused by severe lower respiratory tract infections,which can lead to a prolonged course of illness,frequent exacerbations,and significant physiological,psychological,and economic burdens for the affected children and their families.Respiratory function training combined with multifunctional exhalation valve exercises can improve respiratory muscle function in patients with chronic diseases,thereby alleviating respiratory difficulties and improving their quality of life.This study aims to explore the application effects of pursed-lip breathing training combined with multifunctional exhalation valve exercise in children with bronchiolitis obliterans. Methods:A convenience sampling method was selected for 88 children diagnosed with bronchiolitis obliterans and hospitalized in the pediatric department of First Affiliated Hospital of Guangzhou Medical University from January 2020 to June 2021.Among them,43 children admitted from January to September 2020 were assigned to the control group and received routine nursing care and pursed-lip breathing training.The remaining 45 children admitted from October 2020 to June 2021 were assigned to the experimental group and received pursed-lip breathing training combined with multifunctional exhalation valve exercises for respiratory function training in addition to routine nursing care.Simple pulmonary function tests,the 6-minute walk test,Borg rating scores,and other tools were used to compare the peak expiratory flow rate,length of hospital stay,6-minute walk distance,and Borg rating scores between the two groups of children. Results:After intervention,the experimental group showed higher peak expiratory flow rates than the control group[(221.84±75.79)L/min vs(182.79±57.32)L/min,P<0.05],shorter lengths of hospital stay than the control group[(10.73±3.11)d vs(12.93±2.62)d,P<0.05],and significantly longer 6-minute walking distances than the control group[(485.87±70.08)m vs(430.51±61.12)m,P<0.001].However,there was no significant improvement in Borg rating score between the 2 groups(P>0.05). Conclusion:Pursed-lip breathing training combined with multi-functional exhalation valve exercises can effectively improve lung function and endurance in children with bronchiolitis obliterans,shorten hospital stays,and alleviate the burden on families.Therefore,it can be recommended for clinical application.关键词
缩唇呼吸训练/多功能呼气阀/闭塞性细支气管炎/儿童Key words
pursed-lip breathing training/multifunction exhalation valve/bronchiolitis obliterans/children引用本文复制引用
王德花,刘卫娟,唐新勉,刘丽娟,张广清..缩唇呼吸训练联合多功能呼气阀锻炼在闭塞性细支气管炎患儿中的应用[J].临床与病理杂志,2023,43(12):2144-2149,6.基金项目
广州护理学会科研项目(B2021019).This work was supported by the Research Project of Guangzhou Nursing Association,China(B2021019). （B2021019）
