运动疗法联合呼吸训练对脑卒中患者肺功能的影响

Effect of Exercise Therapy Combined with Respiratory Training on Pulmonary Function of Stroke Patients

[目的]观察呼吸训练联合运动疗法对脑卒中患者临床康复的效果与质量。[方法]在入院治疗的脑卒中患者中选取60名符合试验条件的患者,采用年龄、病情和性别分层抽样平均分为对照组和观察组,对照组采用常规运动疗法治疗,观察组在常规运动疗法治疗的基础上联合呼吸训练。观察指标为用力肺活量(FVC)、第1秒用力呼气量(FEV1)、第一秒用力呼气量与用力肺活量比值(FEV1/FVC)及日常生活能力(ADL)。[结果]观察组治疗3周、对照组治疗4周后患者康复观察指标(FVC、FEV1、FEV1/FVC、ADL)有显著改善(P<0.05);治疗4周后观察组患者康复观察指标有极显著改善(P<0.01)。[结论]呼吸训练联合运动疗法能极大地改善患者的肺功能和日常生活能力,有效地提升脑卒中患者康复治疗的效果与质量。

[Objective]To observe the effect and quality of respiratory training combined with exercise therapy on clinical rehabilitation of stroke patients.[Methods]Among the stroke patients admitted to the hospital for treatment,60 patients eligible for the trial were selected and divided into two groups.The control group was treated with conventional exercise therapy.The observation group combined breathing training on the basis of conventional exercise therapy.Observation indicators are forced vital capacity(FVC),forced expiratory volume in one second(FEV1),ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC),and activities of daily living(ADL).[Results]Observation group’s rehabilitation observation indicators(FVC,FEV1,FEV1/FVC,ADL)in the observation group after 3 weeks of treatment and 4 weeks in the control group were significantly improved(P<0.05);after 4 weeks of treatment,the observation indicators of rehabilitation in the observation group were extremely significant.Improved(P<0.01).[Conclusion]Respiratory training combined with exercise therapy can greatly improve patients’lung function and daily life ability,and effectively improve the effect and quality of rehabilitation treatment for patients with stroke.