颈髓损伤康复中呼吸功能训练效果分析

The effect of respiratory function exercise on rehabilitation of cervical spinal cord injury

目的:观察呼吸功能训练对颈髓损伤患者肺功能的影响。方法:对85例颈髓损伤患者进行肺功能测定,然后对患者实施8周的呼吸功能训练,观察呼吸功能训练前后患者肺活量(VC)、最大通气量(MVV)、时间肺活量(FVC)、第一秒最大呼气量(FEV1)等肺功能指标的变化,并对结果进行分析。结果:所有患者呼吸功能训练前VC、MVV、FVC、FEV1均较正常值降低,经过8周的训练后,其肺功能指标均较训练前有不同程度改善(P<0.05)。其中在颈髓损伤后8周内开展呼吸功能训练者的肺功能提高程度明显好于8周后开展呼吸功能训练的患者(P<0.05)。结论:颈髓损伤后患者肺功能均有不同程度降低,呼吸功能训练可以改善患者肺功能,伤后开展呼吸功能训练的时间越早,其肺功能的改善越明显。

Objective：To observe the influence of respiratory function exercise on pulmonary function after cervical spinal cord injury.Method：Pulmonary function tests were performed on 85 patients with cervical spinal cord injury to analyze the relationship between the degree of cervical spinal cord injury and the change of pulmonary function.Then the patients received respiratory function exercise for 8 weeks.The vital capacity （VC）, maximal voluntary ventilation （MVV）, forced vital capacity （FVC） and force expiratory volume in one second（FEV1） before and after training were compared.Result：Main pulmonary function index of the 85 patients were lower than normal.The correlation between ASIA motor score and VC,MVV,FVC,FEV1 was positive （P〈0.05）.After 8 weeks of exercise,pulmonary function were improved both in complete and incomplete spinal cord injury patients.The initiation time of training was correlated with improvement of pulmonary function.Conclusion：Pulmonary function of cervical spinal cord injury patients decrease to some extent.Respiratory function exercise can help improve the pulmonary function and prevent the complications of lungs.