肺功能训练器联合抗阻腹式呼吸训练对颈髓损伤患者呼吸功能的影响

Effect of pulmonary function training instrument combined with resistance abdominal breathing training on respiratory function of patients with cervical spinal cord injury

目的：观察肺功能训练器联合抗阻腹式呼吸训练对颈髓损伤患者呼吸功能的影响。方法将60例颈髓损伤患者按随机数字表法随机分为对照组和观察组，每组各30例，对照组采用辅助咳嗽咳痰、指导腹式呼吸及肢体功能锻炼等综合康复治疗，观察组在对照组的基础上采用肺功能训练器联合抗阻腹式呼吸训练治疗，两组均治疗8周。观察两组患者的用力肺活量、1s最大呼气量、最大通气量及肺部病原菌检出率。结果治疗8周后观察组的用力肺活量为（68．6±11．3）％，1 s最大呼气量为（75．8±9．3）％，最大通气量为（67．4±11．6）％；对照组分别为（60．1±14．9）％，（64．3±13．2）％，（57．8±13．5）％，差异均有统计学意义（t值分别为2．78，2．52，2．61；P＜0．05）。肺部病原菌检出率观察组为6．67％（2/30），显著低于对照组的30．00％（9/30），差异有统计学意义（χ2＝21．23，P＜0．05）。结论肺功能训练器联合抗阻腹式呼吸训练可以改善颈髓损伤患者的呼吸功能、降低肺部感染率。

Objective To observe the effect of pulmonary function training instrument combined with resistance abdominal breathing training on respiratory function recovery of patients with cervical spinal cord injury.Methods Sixty cases of patients with cervical spinal cord injury were randomly divided into the research group（n=30）and the control group（n=30）.The control group adopted sputum drainage nursing , abdominal breathing training and the comprehensive rehabilitation treatment such as limbs functional rehabilitation training , while the research group used pulmonary function training instrument combined with resistance abdominal breathing training in addition for eight weeks .Forced vital capacity （ FVC）, forced expiratory volume in one second（FEV1.0）, maximal voluntary ventilation （ MVV） and the detected rate of pulmonary pathogens were observed and compared.Results The FVC, FEV1.0, MVV was respectively （68.6 ±11.3）%, （75.8 ± 9.3）%and （ 67.4 ±11.6 ）% in the research group after eight weeks , and （ 60.1 ±14.9 ）%, （ 64.3 ± 13.2）%and （57.8 ±13.5）%in the control group, with statistically significant differences （t=2.78,2.52, 2.61, respectively;P〈0.05）.The rate of pulmonary pathogens was 6.67%（2/30） in the research group and 30.00%（9/30） in the control group, and the difference was statistically significant （χ2 =21.23,P〈0.05）. Conclusions Pulmonary function training instrument combined with resistance abdominal breathing training can improve respiratory function recovery and reduce infection rate in patients with cervical spinal cord injury .