运动想象联合呼吸训练对脑卒中患者肺功能影响临床观察

目的]观察运动想象联合呼吸训练对脑卒中患者肺功能的影响。方法]以2017年5月—2018年5月在山东中医药大学附属医院康复科接受康复训练且符合纳入标准的76例脑卒中患者为观察对象,根据随机数字表法随机分为运动想象联合呼吸训练组(简称联合训练组)、呼吸训练组及对照组。对照组25例患者接受常规康复训练物理治疗(PT)、作业治疗(OT)],每次30 min,每日1次,每周5次,共12周。呼吸训练组25例患者在对照组基础上进行呼吸训练,每次30 min,每日2次,每周10次,共12周。联合训练组26例患者在呼吸训练组基础上再行运动想象训练,每次15 min,每日2次,每周10次,共12周。3组患者在训练前后均进行吸气肌功能与肺通气功能评定,测定最大吸气压(MIP)、吸气峰值流速(PIF)、用力肺活量(FVC)、呼气峰流速(PEF)、最大通气量(MVV)、第1秒用力呼气量(FEV1)数据。结果]在康复训练12周后,联合训练组与呼吸训练组的检测指标均明显高于对照组(P<0.05),且联合训练组在改善FVC、MVV、FEV1指标方面优于呼吸训练组(P<0.05)。结论]呼吸训练联合康复训练可以改善脑卒中患者的吸气肌功能和肺通气功能,且运动想象联合呼吸训练和康复训练改善脑卒中患者吸气肌功能和肺通气功能作用更佳,吸气肌功能和肺通气功能是肺功能的重要组成部分,通过改善脑卒中患者的吸气肌功能和肺通气功能,进而提高肺功能,具有较好的临床应用价值。

Effect of exercise imagination combined with respiratory training on pulmonary function in stroke patients

Objective] To observe the effects of exercise imagination combined with respiratory training on pulmonary function in stroke patients.Methods] From May 2017 to May 2018,seventy six stroke patients who received rehabilitation training in the rehabilitation department of affiliated hospital of Shandong University of Traditional Chinese Medicine in Jinan and met the inclusion criteria were observed,and were randomly divided into the combined exercise imagination breathing training group (hereinafter referred to as the combined training group),the respiratory training group and the control group. Control group of 25 patients received routine rehabilitation training (PT,OT),each time 30 min,once a day,5 times a week,a total of 12 weeks. Respiratory training group on the basis of the 25 patients with breathing exercises,each time 30min,twice a day,10 times a week,a total of 12 weeks. In the combined training group,the 26 patients were added with exercise imagination training on the basis of breathing training group,each time for 15min,twice a day,10 times a week,for a total of 12 weeks. Before and after the three groups of participants in the training of the inspiratory muscle function and pulmonary ventilation function evaluation,determination of MIP,PIF,FVC,PEF,MVV is,FEV1 data.Results] After 12 weeks of rehabilitation training,the detection indexes of both the combined training group and the respiratory training group were significantly higher than those of the control group (P<0.05),and the combined training group was superior to the respiratory training group in improving the indicators of FVC,MVV and FEV1 (P<0.05).Conclusion] Respiratory training combined with rehabilitation training can improve the inspiratory muscle function and pulmonary ventilation function of stroke patients,and exercise imagination combined with respiratory training and rehabilitation training can improve the inspiratory muscle function and pulmonary ventilation function of stroke patients better. Inspiratory muscle function and pulmonary ventilation function are important components of pulmonary function. Through improving the inspiratory muscle function and pulmonary ventilation function of stroke patients,and then improve the pulmonary function. It has better clinical application value to improve lung function.