呼吸训练对脑卒中患者肺功能及上肢运动功能的疗效观察

目的:观察呼吸训练对脑卒中患者肺功能及上肢运动功能的影响。方法:选取符合条件的80例脑卒中患者随机分为观察组及对照组各40例。对照组患者给予常规康复治疗,观察组在此基础上辅以呼吸训练。于治疗前、治疗8周后分别采用用力肺活量(FVC)、1秒用力呼气量(FEV1)、峰值呼气流速(PEF) FEV1与FVC比值(FEV1/FVC)评估患者肺功能,Sheikh躯干控制评分量表(TCT)评估患者躯干功能改善情况,Fugl-Meyer量表(FMA)、Wolf运动功能测试(WMFT)、改良Barthel指数(MBI)评估患者的上肢运动功能和日常生活活动能力。结果:治疗8周后,观察组FVC、FEV1、PEF及FEV1/FVC均较治疗前及对照组明显提高(均P 0. 05﹚,对照组治疗前后差异无统计学意义。治疗后,2组患者TCT、FMA、WMFT及MBI评分均较治疗前明显提高(均P 0. 05),且观察组各项评分均高于对照组(均P 0. 05)。结论:在常规康复运动疗法基础上辅以呼吸训练,能进一步改善脑卒中患者恢复期的肺功能及上肢运动功能,其疗效优于单纯康复运动疗法,该联合疗法值得临床研究、应用。

Effect of Respiratory Training on Pulmonary Function and Upper Limbs Motor Function in Stroke Patients

Objective: To observe the effect of respiratory training on lung function and upper limbs motor function in stroke patients. Methods: Eighty stroke patients who met the criteria were randomly divided into observation group and control group, 40 cases each. Patients in the control group and observation group were given conventional rehabilitation treatment, and those in the observation group were supplemented with respiratory training, once a day. Before and 8 weeks after treatment, lung function was assessed by forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEF) and 1 second forced expiratory volume (FEV1) and forced vital capacity (FVC) ratio (FEV1/FVC). Sheikh trunk control scale (TCT) was used to assess the improvement of trunk function. Fugl Meyer Assessment scale (FMA), and Wolf motor function test (WMFT) and the modified Barthel Index (MBI) were used to assess the patient''s upper extremity motor function and activities of daily living. Results: After 8 weeks of treatment, the FVC, FEV1, PEF and FEV1/FVC in the observation group were significantly higher than those before treatment and in the control group at the same time point. The difference was statistically significant (P<0.05). The Sheikh TCT scores were increased after treatment in both groups, and those in the observation group were significantly higher than those in the control group after treatment (P<0.05). The scores of FMA, WMFT and MBI after treatment in the two groups were significantly higher than those before treatment, and those in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: Supplementing respiratory training on the basis of conventional rehabilitation exercise therapy can further improve the recovery of lung function and upper extremity motor function in patients with stroke. Its curative effect is better than simple rehabilitation exercise therapy. This combination therapy is worthy of clinical promotion and application.