“六字诀”呼吸功能训练联合作业治疗对脑卒中恢复期患者平衡能力及心肺功能的影响

Effect of“Liuzijue”Respiratory Exercise Combined with Occupational Therapy on Balance Ability and Cardiopulmonary Function in Patients with Stroke during Convalescence

目的为探究“六字诀”呼吸功能训练联合作业治疗对脑卒中恢复期患者平衡能力及心肺功能的影响。方法选取脑卒中后平衡能力失调患者及心肺功能障碍患者120例,按照随机数字表法分为对照组例和观察组,各60例,对照组采用常规作业治疗,观察组采用“六字诀”呼吸功能训练联合常规作业进行治疗,观测三个疗程后2组心肺功能及平衡能力变化。采用力肺活量(FVC)及第1秒用力呼气量(FEV1),对比两组患者肺功能;采用左心室射血分数(LVEF)、左室舒张末期内径(LVEDD)水平比较,评定两组心功能;采用Berg平衡量表(BBS),评定两组患者平衡能力。结果治疗前,两组患者的肺功能指标、心功能指标及平衡能力均无差异(P>0.05),治疗后,观测组心肺功能指标及BBS评分均明显优于对照组(P<0.05)。结论采用“六字诀”呼吸功能训练联合作业治疗对脑卒患者平衡能力及心肺功能的恢复起到了极好的作用,在改善患者心肺功能、提高患者平衡能力方面尤为突出。

Objective To explore the effect of“Liuzijue”respiratory exercise combined with occupational therapy on balance ability and cardiopulmonary function in patients with stroke during convalescence.Methods One hundred and twenty patients with balance disorder and cardiopulmonary dysfunction after stroke were enrolled,and classified into two groups by random number table methods,each with 60 cases.Control group received conventional occupational therapy,while observation group received“Liuzijue”respiratory exercise combined with occupational therapy.The cardiopulmonary function and balance ability were assessed in both groups at three course after treatment.Pulmonary function parameters including forced vital capacity(FVC)and forced expiratory volume in one second(FEV1),cardiac function indicators including left ventricular ejection fraction(LVEF)and left ventricular end-diastolic diameter(LVEDD),and Berg Balance Scale(BBS)were assessed in all subjects.Results Before treatment,no statistical difference was found in pulmonary function parameters,cardiac function indicators and balance ability between two groups(P>0.05).After treatment,the cardiopulmonary function parameters and BBS score of observation group were notably better than those of control group(P<0.05).Conclusion Application of“Liuzijue”respiratory exercise combined with occupational therapy in patients with stroke during convalescence is of great value in ameliorating the cardiopulmonary function and balance ability in patients.