自动排痰仪联合抗阻腹式呼吸训练对脑梗死并发肺炎患者肺功能的影响

The Effect of Automatic Sputum Ejector Combined with Anti Obstructive Abdominal Respiratory Training on Pulmonary Function in Patients with Cerebral Infarction Complicated with Pneumonia

目的探究自动排痰仪联合抗阻腹式呼吸训练对脑梗死并发肺炎患者肺功能的影响。方法选取2020年1月1日至2021年11月30日于医院就诊的脑梗死并发肺炎患者90例为研究对象,按照随机数字表法分为对照组和观察组,各45例。对照组给予自动排痰仪干预,观察组给予自动排痰仪联合抗阻腹式呼吸训练干预,比较两组干预前后肺功能[第1秒用力呼气量占预估值百分含量(FEV_(1)%pred)、呼气峰值流速(PEFR)]、运动心肺功能及耐量[运动中最大摄氧量(VO_(2max))、6 min步行试验(6 MWT)]、生命质量[圣乔治呼吸问卷(SGRQ)]。结果干预7 d后,两组FEV_(1)%pred、PEFR、VO_(2max)、6 MWT均升高,SGRQ评分降低,差异均有统计学意义(P<0.05);观察组FEV_(1)%pred、PEFR、VO_(2max)、6MWT高于对照组,SGRQ评分低于对照组,差异均有统计学意义(P<0.05)。结论自动排痰仪联合抗阻腹式呼吸训练可促进脑梗死并发肺炎患者心肺功能恢复,改善运动耐量,提高生命质量。

Objective The effect of automatic sputum ejection device combined with anti obstructive abdominal breathing training on lung function in patients with cerebral infarction complicated by pneumonia has been explored.Methods 90 patients with cerebral infarction complicated by pneumonia who were treated in hospitals from January 1,2020 to November 30,2021 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 45 cases in each group.The control group received intervention with an automatic sputum ejection device,while the observation group received intervention with an automatic sputum ejection device combined with resistance abdominal breathing training.The lung function(FEV_(1)%pre),peak expiratory flow rate(PEFR),exercise cardiopulmonary function and tolerance(VO_(2max)),6-minute walking test(6 MWT),and quality of life(SGRQ)were compared between the two groups before and after intervention.Results After 7 days of intervention,FEV_(1)%pred,PEFR,VO_(2max),and 6 MWT in both groups increased,while SGRQ scores decreased,with statistically significant differences(P<0.05);The FEV_(1)%pred,PEFR,VO_(2max),and 6 MWT in the observation group were higher than those in the control group,and the SGRQ score was lower than that in the control group,with statistical significance(P<0.05).Conclusion The combination of automatic sputum ejection device and anti obstructive abdominal breathing training can promote the recovery of cardiopulmonary function,improve exercise tolerance,and improve quality of life in patients with cerebral infarction complicated by pneumonia.