歌唱训练对颈髓损伤患者呼吸功能的影响

Effect of Singing Exercises on Respiratory Function of Patients with Cervical Spinal Cord Injury

目的:探讨歌唱训练对颈髓损伤患者呼吸功能的影响,以期丰富该类患者的康复护理手段,减少呼吸道并发症,提高患者的生活质量。方法:33例颈髓损伤患者随机分为对照组18例和观察组15例。对照组患者给予常规康复训练联合常规呼吸训练,观察组患者在此基础上进行4周歌唱训练。治疗前后对患者进行用力呼气肺活量(FVC)、第一秒用力呼气量(FEV1)、指端血氧饱和度(SpO2)、心率及膈肌增厚分数(DTF)的测定。结果:治疗4周后,2组患者的FVC和FEV1值均较治疗前明显增加(均P<0.05),且观察组FVC和FEV1治疗前后差值均明显大于对照组治疗前后差值(均P<0.05);2组患者的SpO2、心率及DTF与治疗前组内比较及治疗后组间差值比较差异均无统计学意义。结论:歌唱训练联合常规康复训练联合常规呼吸训练对颈髓损伤患者呼吸功能的提升更为明显。歌唱训练简单易行,患者依从性好,可作为颈髓损伤患者呼吸功能障碍康复护理手段的一种新尝试。

Objective:To explore the effect of singing training on the respiratory function of patients with cervical spinal cord injury(SCI),so as to enrich the rehabilitation nursing methods,reduce respiratory complications and improve the quality of life of the patients.Methods:Totally,33 patients with cervical SCI were randomly divided into control group(n=18)and treatment group(n=15).Patients in the control group were given the routine rehabilitation training and routine respiratory training,and singing training was performed for 4 weeks in the treatment group on the basis of routine rehabilitation training and routine respiratory training.The forced expiratory vital capacity(FVC),forced expiratory volume in one second(FEV1),peripheral capillary oxygen saturation(SpO2),heart rate and diaphragm thickening fraction(DTF)were measured before and after treatment.Results:After 4 weeks of treatment,the values of FVC and FEV1 in the two groups were significantly higher than those before treatment(all P<0.05),and the differences in FVC and FEV1 in the treatment group were significantly larger than those in the control group(all P<0.05).There was no significant difference in SpO2,heart rate and DTF in the two groups before and after treatment,and between two groups after treatment.Conclusion:The improvement of respiratory function in patients with cervical SCI is more obvious in the combination of singing training and routine rehabilitation training and routine respiratory training.Singing training is simple and easy to perform with good patient compliance,which can be used as a new attempt of rehabilitation nursing for respiratory dysfunction to patients with cervical SCI.