不同呼吸训练方式对亚急性期脑卒中呼吸功能及膈肌功能的影响

被引：31

作者：

俞长君

杨婷

张会慧

蔡雨星

杨蓓

机构：

[1] 南京医科大学附属南京医院暨江苏省南京市第一医院康复医学科

来源：

广西医学 | 2019年 / 41卷 / 01期

关键词：

脑卒中; 呼吸训练; 肺功能; 膈肌功能;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的探讨不同呼吸训练方式对亚急性期脑卒中患者呼吸功能及膈肌功能的影响。方法将88例亚急性期脑卒中患者随机分为常规康复组30例、胸式呼吸组29例和腹式呼吸组29例,3组患者均给予常规康复训练,胸式呼吸组和腹式呼吸组在常规康复训练基础上分别进行胸式呼吸训练和腹式呼吸训练,均进行3个月的康复训练。评估3组患者康复训练前后的肺功能、呼吸力学指标及膈肌功能。结果康复训练3个月后,胸式呼吸组和腹式呼吸组肺功能、呼吸力学及膈肌肌电各项指标均优于训练前和常规康复组,且腹式呼吸组各项指标改善程度均优于胸式呼吸组(均P <0. 05)。结论在常规康复训练基础上采取呼吸训练有助于提高亚急性期脑卒中患者的肺功能,改善其呼吸力学指标和膈肌功能,且腹式呼吸训练方式的效果优于胸式呼吸训练方式。

引用

页码：102 / 104+107 +107

页数：4

共 10 条

[1]

Inspiratory and expiratory muscle training in subacute stroke A randomized clinical trial [J].

Messaggi-Sartor, Monique ;

Guillen-Sola, Anna ;

Depolo, Marina ;

Duarte, Esther ;

Rodriguez, Diego A. ;

Barrera, Maria-Camelia ;

Barreiro, Esther ;

Escalada, Ferran ;

Orozco-Levi, Mauricio ;

Marco, Ester .

NEUROLOGY, 2015, 85 (07) :564-572

[2]

Effects of the combination of respiratory muscle training and abdominal drawing-in maneuver on respiratory muscle activity in patients with post-stroke hemiplegia: a pilot randomized controlled trial [J].

Kim, Chang-Yong ;

Lee, Jung-Sun ;

Kim, Hyeong-Dong ;

Kim, In-Seob .

TOPICS IN STROKE REHABILITATION, 2015, 22 (04) :262-270

[3]

Does Respiratory Muscle Training Improve Cough Flow in Acute Stroke? Pilot Randomized Controlled Trial [J].

Kulnik, Stefan Tino ;

Birring, Surinder Singh ;

Moxham, John ;

Rafferty, Gerrard Francis ;

Kalra, Lalit .

STROKE, 2015, 46 (02) :447-453

[4]

Heart Disease and Stroke Statistics-2015 Update A Report From the American Heart Association [J].

Mozaffarian, Dariush ;

Benjamin, Emelia J. ;

Go, Alan S. ;

Arnett, Donna K. ;

Blaha, Michael J. ;

Cushman, Mary ;

de Ferranti, Sarah ;

Despres, Jean-Pierre ;

Fullerton, Heather J. ;

Howard, Virginia J. ;

Huffman, Mark D. ;

Judd, Suzanne E. ;

Kissela, Brett M. ;

Lackland, Daniel T. ;

Lichtman, Judith H. ;

Lisabeth, Lynda D. ;

Liu, Simin ;

Mackey, Rachel H. ;

Matchar, David B. ;

McGuire, Darren K. ;

Mohler, Emile R., III ;

Moy, Claudia S. ;

Muntner, Paul ;

Mussolino, Michael E. ;

Nasir, Khurram ;

Neumar, Robert W. ;

Nichol, Graham ;

Palaniappan, Latha ;

Pandey, Dilip K. ;

Reeves, Mathew J. ;

Rodriguez, Carlos J. ;

Sorlie, Paul D. ;

Stein, Joel ;

Towfighi, Amytis ;

Turan, Tanya N. ;

Virani, Salim S. ;

Willey, Joshua Z. ;

Woo, Daniel ;

Yeh, Robert W. ;

Turner, Melanie B. .

CIRCULATION, 2015, 131 (04) :E29-E322

[5]

Dysphagia and Factors Associated with Respiratory Infections in the First Week Post Stroke [J].

Brogan, Emily ;

Langdon, Claire ;

Brookes, Kim ;

Budgeon, Charley ;

Blacker, David .

NEUROEPIDEMIOLOGY, 2014, 43 (02) :140-144

[6]

Respiratory Infections in Acute Stroke: Nasogastric Tubes and Immobility are Stronger Predictors than Dysphagia [J].

Brogan, Emily ;

Langdon, Claire ;

Brookes, Kim ;

Budgeon, Charley ;

Blacker, David .

DYSPHAGIA, 2014, 29 (03) :340-345

[7]

Respiratory muscle strength and training in stroke and neurology: a systematic review.[J].Ross D. Pollock;Ged F. Rafferty;John Moxham;Lalit Kalra.Int J Stroke.2012, 2

[8]

呼吸肌训练对脑卒中患者呼吸功能的影响 [J].