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歌唱训练对颈髓损伤患者呼吸功能的影响
引用本文:贾彦梅,谢家兴,宫慧明,王宇翔,李慧兰,汪雯,李小娜,孟迪,王楚. 歌唱训练对颈髓损伤患者呼吸功能的影响[J]. 中国康复, 2021, 36(6): 331-334
作者姓名:贾彦梅  谢家兴  宫慧明  王宇翔  李慧兰  汪雯  李小娜  孟迪  王楚
作者单位:中国康复研究中心(北京博爱医院) 脊柱脊髓神经功能重建科,北京 100068;中国康复研究中心(北京博爱医院) 护理部,北京 100068;中国康复研究中心(北京博爱医院)自闭症中心,北京 100068
基金项目:北京市自然科学基金(7192238),首都卫生发展科研专项项目(首发2018-1-6011)
摘    要:目的:探讨歌唱训练对颈髓损伤患者呼吸功能的影响,以期丰富该类患者的康复护理手段,减少呼吸道并发症,提高患者的生活质量.方法:33例颈髓损伤患者随机分为对照组18例和观察组15例.对照组患者给予常规康复训练联合常规呼吸训练,观察组患者在此基础上进行4周歌唱训练.治疗前后对患者进行用力呼气肺活量(FVC)、第一秒用力呼气量...

关 键 词:歌唱训练  颈髓损伤  呼吸功能  康复  护理

Effect of Singing Exercises on Respiratory Function of Patients with Cervical Spinal Cord Injury
Abstract:Objective: To explore the effect of singing training on the respiratory function of patients with cervical spinal cord injury (SCI), so as to enrich the rehabilitation nursing methods, reduce respiratory complications and improve the quality of life of the patients. Methods: Totally, 33 patients with cervical SCI were randomly divided into control group (n=18) and treatment group (n=15). Patients in the control group were given the routine rehabilitation training and routine respiratory training, and singing training was performed for 4 weeks in the treatment group on the basis of routine rehabilitation training and routine respiratory training. The forced expiratory vital capacity (FVC), forced expiratory volume in one second (FEV1), peripheral capillary oxygen saturation (SpO2), heart rate and diaphragm thickening fraction (DTF) were measured before and after treatment. Results: After 4 weeks of treatment, the values of FVC and FEV1 in the two groups were significantly higher than those before treatment (all P<0.05), and the differences in FVC and FEV1 in the treatment group were significantly larger than those in the control group (all P<0.05). There was no significant difference in SpO2, heart rate and DTF in the two groups before and after treatment, and between two groups after treatment. Conclusion: The improvement of respiratory function in patients with cervical SCI is more obvious in the combination of singing training and routine rehabilitation training and routine respiratory training. Singing training is simple and easy to perform with good patient compliance, which can be used as a new attempt of rehabilitation nursing for respiratory dysfunction to patients with cervical SCI.
Keywords:singing exercises   cervical spinal cord injury   respiratory function   rehabilitation   nursing
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