强化呼吸训练联合常规康复训练对吉兰-巴雷综合症患者功能康复及心理变化的影响

目的:观察强化呼吸训练联合常规康复训练对吉兰-巴雷综合症(GBS)患者功能康复及心理变化。方法 :随机将共40例吉兰-巴雷综合症患者分为对照组和观察组,对照组给予常规康复训练,观察组给予在常规康复训练的基础上加以强化呼吸训练。于治疗前、治疗8周后分别采用用力肺活量(FVC),第一秒最大呼气量(FEV1),FEV1/FVC、Fugl-Meyer运动功能(FMA)评定、Barthel指数(MBI)、医院焦虑和抑郁量表(HADS)分别评定患者的呼吸功能、运动功能、日常生活能力及心理变化。结果:治疗后,2组患者FEV1,FVC,FEV1/FVC,FMA,ADL评分均较治疗前显著提高(P0.05),且观察组上述指标高于对照组(P0.05)。治疗后,2组HADS评分均明显低于治疗前(P0.05),且观察组低于对照组(P0.05)。结论:强化呼吸训练联合常规康复训练能改善吉兰-巴雷综合症患者的呼吸功能、运动功能及日常生活能力,减轻患者的抑郁和焦虑情绪,促进肢体功能康复,该疗法值得临床推广应用。

Effect of enhanced respiratory training combined with conventional rehabilitation training on functional rehabilitation and psychological changes in Guillain-Barre syndrome

Objective: To investigate the effects of enhanced respiratory training combined with conventional rehabilitation training on functional rehabilitation and psychological changes in Guillain-Barre syndrome (GBS). Method: A total of 40 cases of GBS were randomly divided into control group and treatment group. Control group was given conventional rehabilitation training, and treatment group was given enhanced respiratory training besides the routine rehabilitation training. Before and 8 weeks after treatment, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC, Fugl-Meyerassesment (FMA) and the Barthel Index (MBI) and Hospital Anxiety and Depression Scale (HADS) were used to assess the respiratory function, motor function, daily living ability and psychological changes in patients with GBS. Results: After the treatment, the scores of FVC, FEV1, FEV1/FVC, FMA, MBI and HADS were significantly improved in the control group and the treatment group (P<0.05), and the above indexes in the treatment group were significantly higher than those in the control group (P<0.05). Conclusion: Enhanced respiratory training combined with conventional rehabilitation training can improve the respiratory function, motor function and daily living ability of the patients with GBS, alleviate the depression and anxiety of patients and promote the rehabilitation of limb function.