六字诀联合吸气肌训练对脑卒中偏瘫患者肺功能的影响

目的:探讨六字诀联合吸气肌训练在脑卒中偏瘫患者肺功能的影响。方法:将75例脑卒中偏瘫患者随机分为联合组、训练组和对照组,每组25例。3组均给予常规的康复训练(PT、OT),训练组在此基础上进行吸气肌肌力训练,联合吸组在此基础上进行六字呼吸训练。练习3个月后,对患者的肺通气功能和吸气肌功能进行检测,并比较各组间差异。结果:干预3个月后,联合组和训练组患者的肺通气功能均较治疗前明显提高(均P0.05),对照组治疗前后比较差异无统计学意义;联合组干预后的FVC、FEV1、MVV均明显高于对照组(均P0.05);训练组干预后的FEV1、MVV均明显高于对照组(均P0.05);联合组干预后的FEV1、MVV均明显高于训练组(均P0.05);训练组与对照组间、联合组与训练组间的FVC比较差异无统计学意义。干预后,联合组和训练组患者的MIP、PIF均较治疗前明显提高(均P0.05),对照组治疗前后比较差异无统计学意义;且联合组患者干预后的MIP、PIF均明显高于训练组及对照组(均P0.05);训练组干预后的MIP、PIF均明显高于对照组(均P0.05)。结论:与单独的吸气肌训练相比,对脑卒中偏瘫患者给予六字诀联合吸气肌训练,能够显著提高患者的肺通气功能和吸气肌功能,对患者肺功能的改善作用显著。

Effects of six-character formula combined with inspiratory muscle training on pulmonary function in stroke patients with hemiplegia

Objective: To investigate the effects of six-character formula with inspiratory muscle training on pulmonary function in stroke patients with hemiplegia, especially those with pulmonary dysfunction. Methods: A total of 75 enrolled patients with hemiplegia were randomly divided into six-character formula combined with inspiratory muscle training group (SCF+IMT), inspiratory muscle training group (IMT) and control group, 25 cases in each group. All patients were given routine rehabilitation training for 12 weeks while IMT group performed inspiratory muscle strength training and SCF+IMT group received both the six-character formula breathing training and inspiratory muscle training additionally. Pulmonary function and inspiratory muscle function were evaluated before and after training. Results: The pulmonary ventilation indexes FEV1 and MVV were significantly higher than baseline in both SCF+IMT group and IMT group. After training, SCF+IMT group performed significantly better than IMT group. As for inspiratory muscle function, MIP and PIF were significantly higher than baseline in both SCF+IMT group and IMT group. After training, MIP and PIF in SCF+IMT group were significantly higher than those in inspiratory muscle training group. Conclusion: Compared with the inspiratory muscle training alone, six-character formula combined with inspiratory muscle training in patients with hemiplegia can significantly improve the pulmonary function and inspiratory muscle function.