神经损伤与功能重建2025，Vol.20Issue(10)：591-595,5.DOI:10.16780/j.cnki.sjssgncj.20240292
脑卒中患者呼吸肌功能障碍及康复治疗研究进展
Research Progress in Respiratory Muscle Dysfunction and Rehabilitation Treatment in Stroke Patients
摘要
Abstract
Respiratory muscle dysfunction is a common complication of stroke,which can lead to decreased strength and atrophy of the respiratory muscles,increased incidence of pulmonary infection,and increased risk of non-vascular death in patients.This paper reviews the mechanisms,main assessment methods,and rehabilitation approaches for respiratory muscle dysfunction in stroke patients,in order to provide references for clinical reha-bilitation and research on respiratory muscle dysfunction in stroke patients.The analysis shows that stroke can cause respiratory muscle dysfunction due to primary lesions in the central nervous system,secondary neuromus-cular injury,and iatrogenic injury;commonly used clinical assessment methods include ultrasound,peak cough flow,pulmonary ventilation function tests,respiratory mechanics indexes measurement,electrophysiological ex-amination,etc.Acoustic analysis can be used as one of the future visualization assessment and guidance for respi-ratory rehabilitation.Commonly used clinical rehabilitation approaches include external diaphragm pacing,neu-romuscular electrical stimulation,proprioceptive neuromuscular facilitation,airway management,respiratory muscle training,etc.The electric standing bed can be used as one of the means to prevent infection and improve respiratory muscle function in critically ill patients.关键词
脑卒中/呼吸肌功能障碍/康复/声学分析/体外膈肌起搏/呼吸肌训练Key words
stroke/respiratory muscle dysfunction/rehabilitation/acoustic analysis/external diaphragm pac-ing/respiratory muscle training分类
医药卫生引用本文复制引用
陈金慧,于子夫,高世爱,冷晓轩,曹新燕,刘西花..脑卒中患者呼吸肌功能障碍及康复治疗研究进展[J].神经损伤与功能重建,2025,20(10):591-595,5.基金项目
山东省中医药科技项目(循经点穴对脑卒中后痉挛状态的临床疗效及机制研究,No.M-2023142) （循经点穴对脑卒中后痉挛状态的临床疗效及机制研究,No.M-2023142）
山东省医务职工科技创新计划项目(针刺同步康复对脑卒中后肢体功能障碍的临床疗效研究,No.SDYWZGKCJH2022024) （针刺同步康复对脑卒中后肢体功能障碍的临床疗效研究,No.SDYWZGKCJH2022024）
