渐进性核心稳定性训练在30例卒中患者的应用

Application of progressive core stability training in 30 stroke patients

目的探讨渐进性核心稳定性训练(PCST)对卒中患者肺康复的影响。方法回顾性分析60例卒中患者的临床资料,按干预措施分为常规核心稳定性训练(CST)组和PCST组。通过便携式呼吸功能检查仪和数字压力计评估呼吸功能;应用Berg平衡量表、躯干障碍量表和改良Barthel指数评估躯干功能和生活质量;记录摔倒、扭伤或压疮等不良事件。结果治疗前两组患者一般资料、呼吸功能指标、BBS评分、躯干功能障碍量表(TIS)评分和MBI评分基线值差异无统计学意义(P>0.05);治疗6周后,患者呼吸功能、BBS、TIS和MBI评分均较治疗前明显改善(P<0.05);治疗后PCST组患者最大吸气压(MIP)[(68.04±8.11)cmH2O]、呼吸峰流速(PEF)[(7.48±0.44)L/min]、BBS[(45.44±5.65)分]、TIS[(16.81±2.48)]和MBI[(70.04±5.72)]评分均优于CST组(62.46±8.41)cmH2O、(6.91±0.20)L/min、(38.69±5.12)、(15.35±2.07)、(62.00±8.18),差异有统计学意义(P<0.05);训练过程中两组患者均无摔倒、扭伤、疾病复发及压疮等。结论PCST能有效改善患者呼吸功能、运动功能和生活质量,在促进患者肺康复中更具优势,值得临床进一步推广应用。

Objective To explore the effects of progressive core stability training(PCST)on the pulmonary rehabilitation of stroke patients.Methods The clinical data of 60 stroke patients were retrospectively analyzed.The patients were divided into the core stability training group(CST group,n=30)and PCST group(n=30).Pulmonary function data were assessed with portable lung function tester;trunk function and quality of life were assessed with Berg Balance Scale,Trunk Disorder Scale and Modified Barthel Index;incidences of adverse events such as falls,sprains and pressure sores were recorded.Results There were no significant differences in the general data,respiratory function index,BBS,TIS and MBI scores between the two groups before treatment(P>0.05).After 6 weeks of treatment,the key respiratory function index,BBS,TIS and MBI scores improved significantly in both groups(P<0.05).Intergroup comparison showed the PCST group had more significant improvement than the CST group in MIP[(68.04±8.11)vs(62.46±8.41)cmH2O],PEF[(7.48±0.44)vs(6.91±0.20)L/min],BBS[(45.44±5.65)vs(38.69±5.12)],TIS[(16.81±2.48)vs(15.35±2.07)]and MBI[(70.04±5.72)vs(62.00±8.18)](P<0.05).There were no adverse events during training in either groups.Conclusion Able to improve patients?respiratory function,motor function and quality of life,PCST is more effective in promoting pulmonary rehabilitation of stroke patients,and is worth popularizing in clinical practice.