综合性呼吸训练对颈髓损伤患者呼吸功能的效果

摘要

Objective To observe the short-term effect of comprehensive pulmonary exercise on the impaired respiratory function of convalescence patients suffered from cervical spinal cord injury. Methods From November, 2011 to December, 2016, 100 patients with cervical spinal cord injury (C3-C6,ASIA A-D) were randomly divided into control group(n=50)and observation group(n=50).The control group received rou-tine rehabilitation training,and the observation group added comprehensive pulmonary exercise.They were ex-amined with forced vital capacity(FVC),forced expiratory volume in first second(FEV1),maximum expiratory flow rate with remaining 25% vital capacity (MEF25%) and maximum ventilation volume (MVV) before and two months after intervention. Results The FVC,FEV1,MEF25% and MVV improved significantly in the observation group(t>4.110,P<0.001),and the D-value was more in the observation group than in the control group before and after intervention(t>4.390, P<0.001). Conclusion Comprehensive pulmonary exercise has short-term effect on pulmonary function in convalescent patients survived from cervical spinal cord injury.%目的 观察综合性呼吸训练对颈髓损伤恢复期患者肺功能的短期疗效.方法 2011年11月至2016年12月,颈髓损伤恢复期患者(C3~C6ASIA A~D级)100例,随机分对照组和观察组,各50例.对照组进行常规康复训练,观察组在常规康复训练基础上加综合性呼吸训练,共2个月.训练前后采用肺功能仪检查肺活量(FVC)、第一秒用力呼气量(FEV1)、25%肺活量时的最大呼气流量(MEF25%)和每分钟最大通气量(MVV).结果 训练后,观察组FVC、FEV1、MEF25%和MVV显著改善(t>4.116,P<0.001),且各指标改善显著优于对照组(t>4.390,P<0.001).结论 综合性呼吸训练对颈髓损伤恢复期患者肺通气功能有明显的短期疗效.