脑卒中患者呼吸功能水平与肢体功能康复相关性研究

目的 探讨脑卒中患者呼吸功能改善与肢体功能障碍康复相关性分析研究。方法 选取106例脑卒中偏瘫患者,随机分为对照组53例;干预组53例。对照组53例患者进行包括运动治疗、作业治疗、传统康复等多种治疗方法在内的常规康复治疗;干预组53例患者在此基础上另外进行呼吸肌反馈训练。每周5次,共训练4周。于治疗前后,对两组患者进行呼吸功能评定、上下肢功能评定及日常生活活动能力评定,对治疗后的患者呼吸功能与肢体功能评分及日常生活活动能力评分进行相关性分析。结果 干预组患者的呼吸功能评定评分、上下肢运动功能简式Fugl-Meyer 量表(FMA)评分、日常生活活动能力改良Barthel 指数(MBI)评分均高于对照组,差异具有统计学意义(P＜0.05),干预组患者治疗后呼吸功能水平与肢体功能FMA、MBI评分呈正相关(r=0.425、0.478,P＜0.05)。结论 呼吸肌反馈训练可以有效改善脑卒中偏瘫患者的上下肢运动功能,并提高患者的日常生活活动能力,脑卒中患者的呼吸功能改善与患者的肢体功能障碍恢复呈正相关,可以在临床上通过改善提高患者的呼吸功能水平以恢复患者的肢体功能。

Respiratory function and limb function rehabilitation in stroke patients

Objective To investigate the correlation between the improvement of respiratory function and rehabilitation of limb dysfunction in stroke patients. Methods One hundred and six stroke patients with hemiplegia were randomly divided into control group (53 cases) and intervention group (53 cases). The control group (53 cases) received routine rehabilitation treatment including exercise therapy, occupational therapy and traditional rehabilitation. The intervention group (53 cases) received respiratory muscle feedback training on this basis, five times a week for 4 weeks. Before and after treatment, the respiratory function, upper and lower limb function and activities of daily living were assessed, and the correlation between respiratory function, limb function and activities of daily living was analyzed. Results Respiratory function score, FMA score of upper and lower limb motor function and MBI score of intervention group were higher than those of control group (P<0.05). Respiratory function level of intervention group was positively correlated with FMA and MBI score of limb function (r=0.425、0.478,P<0.05. ) Conclusion Respiratory muscle feedback training can effectively improve the upper and lower limb motor function of stroke patients with hemiplegia, and improve their activities of daily living. Respiratory function improvement of stroke patients is positively correlated with the recovery of limb dysfunction. It can improve the level of respiratory function of patients in clinic to restore limb function.