中国康复2024，Vol.39Issue(8)：465-469,5.DOI:10.3870/zgkf.2024.08.004
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
摘要
Abstract
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(DT-ee),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 compar-ison 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.关键词
脑卒中/渐进抗阻吸气肌训练/膈肌功能/肺功能Key words
stroke/progressive resistance inspiratory muscle training/diaphragm function/lung function分类
医药卫生引用本文复制引用
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):465-469,5.基金项目
安徽省中医药传承创新科研项目(2020zcyb18) （2020zcyb18）
安徽省临床医学研究转化专项项目(202304295107020085) （202304295107020085）
安徽省中医药领军人才建设项目[(康复)(2018-23-1)] （康复）
