| 李 响,张洪蕊,杨 帅,霍飞翔,孙亚鲁.个性化呼吸训练对脑卒中后气管切开患者肺功能的影响[J].中国康复医学杂志,2024,(6):835~839 |
| 个性化呼吸训练对脑卒中后气管切开患者肺功能的影响 点此下载全文 |
| 李 响 张洪蕊 杨 帅 霍飞翔 孙亚鲁 |
| 济宁医学院附属医院康复医学科，山东省济宁市，272000 |
| 基金项目：济宁市重点研发计划项目（2020YXNS025） |
| DOI：10.3969/j.issn.1001-1242.2024.06.011 |
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| 摘要： |
| 摘要
目的：观察个性化呼吸训练对脑卒中后气管切开患者肺功能的影响。
方法：将符合纳入标准的52例脑卒中后气管切开患者分为对照组和干预组，每组26例，在观察期间对照组和干预组各有1例患者脱落。对照组在常规康复的基础上给予体位引流结合震动排痰，干预组在对照组的基础上给予个性化呼吸训练。观察周期为6周，对比两组患者的肺功能﹑膈肌移动度﹑膈肌增厚率、拔管时间及拔管成功率的情况。
结果：训练前两组患者的肺功能指标（FVC、FEV1及PEF）、膈肌活动度（DEq、DEd）、膈肌增厚率（DTF）均无明显差异（P>0.05）；训练6周后，两组患者的FVC、FEV1、PEF、DEq、DEd及DTF均较训练前明显提高（P<0.05）；且干预组较对照组提高更明显（P<0.05）；干预组的拔管时间比对照组明显缩短（P<0.05）；且干预组的拔管成功率为92%，明显高于对照组的68.0%，差异具有显著性意义（P<0.05）。
结论：个性化呼吸训练能更有效地改善脑卒中后气管切开患者的肺功能，缩短气管套管的拔除时间，提高拔管的成功率。 |
| 关键词：呼吸训练 气管切开 肺功能 拔管 |
| Effects of personalized respiratory training on pulmonary function in patients with tracheotomy after stroke Download Fulltext |
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| Department of Rehabilitation Medicine，Affiliated Hospital of Jining Medical University，Jining， Shandong， 272000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To observe the effect of personalized respiratory breathing training on pulmonary function in patients with tracheotomy after stroke.
Method： Fifty-two post-stroke tracheotomy patients who met the inclusion criteria were divided into a control group （n=26） and an intervention group （n=26）. During the observation period， one patient in the control group and one in the intervention group each was lost to follow-up. The control group was given the postural drainage combined with vibration expectoration on the basis of routine rehabilitation， while the intervention group was given individualized breathing training on the basis of the control group. The observation period was 6 weeks， and the pulmonary function， diaphragmatic muscle mobility， diaphragmatic muscle thickening rate， extubation time and extubation success rate were compared between the two groups.
Result： Before training， there were no significant differences in pulmonary function indexes （FVC， FEV1 and PEF）， diaphragmatic activity （DEq， DEd）， and diaphragm thickening rate （DTF） between the two groups （P>0.05）. After 6 weeks of training， the FVC， FEV1， PEF， DEq， DEd and DTF of the two groups were significantly improved compared with those before training （P<0.05）； and the intervention group was more significantly improved than the control group （P<0.05）； The extubation time in the intervention group was significantly shorter than that in the control group （P<0.05）； and the success rate of extubation in the intervention group was 92%， which was significantly higher than that in the control group （68.0%）， and the difference was statistically significant （P<0.05）.
Conclusion： Personalized respiratory training can more effectively improve the pulmonary function of tracheotomy patients after stroke，shorten the removal time of tracheal cannula， and improve the success rate of extubation. |
| Keywords:breathing training tracheotomy pulmonary function extubation |
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