王晓丹，王慧灵，刘承梅，冯晓东，王莉娜.改良的经络呼吸训练法对脑卒中急性期患者肺功能的影响[J].中华物理医学与康复杂志,2018,40(11):826-829
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| 改良的经络呼吸训练法对脑卒中急性期患者肺功能的影响 |
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| DOI： |
| 中文关键词: 改良经络呼吸训练 脑卒中急性期 肺功能 感染 |
| 英文关键词: Respiratory training Meridian respiratory training Stroke Pulmonary function Lung infection |
| 基金项目:河南省中医管理局重点课题资助项目（2016ZY1005）；河南省中医临床学科领军人才培育计划资助项目（2100202） |
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| 中文摘要: |
| 目的 观察改良经络呼吸训练法对脑卒中急性期患者肺功能的影响。 方法 将60例脑卒中急性期患者随机分为观察组和对照组，每组患者30例。2组患者均给予神经内科常规治疗，对照组在此基础上增加常规呼吸训练，观察组则由专业的康复治疗师对患者进行改良的经络呼吸功能训练，每日1次，连续治疗4周。于治疗前和治疗4周后（治疗后）分别监测2组患者的肺功能［包括时间肺活量(FVC)和第1秒最大呼气量(FEV1)］和肺部感染发生率。 结果 治疗后，2组患者的FEV1和FVC较组内治疗前均显著改善，差异均有统计学意义（P<0.05）；且治疗后，观察组的FEV1和FVC均显著优于对照组治疗后，差异均有统计学意义（P<0.05）。治疗后，观察组发生肺部感染3例(10%)，对照组7例(23.3%)，2组患者肺部感染发生率组间比较，差异有统计学意义(χ2=4.05，P<0.05)。 结论 改良的经络呼吸训练法可显著改善脑卒中急性期患者的肺功能，降低肺部感染发生率。 |
| 英文摘要: |
| Objective To explore the effect of modified meridian breathing training on the lung function of acute stroke patients. Methods Sixty acute stroke patients were randomly divided into an intervention group and a control group, each of 30. In addition to the conventional neurological treatment, the control group received routine breathing training, while the intervention group was given modified meridian breathing training by professional rehabilitation therapists once a day for 4 weeks. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), as well as the rate of pulmonary infection were assessed before and after the treatment. Results After 4 weeks of treatment, a significant increase was observed in the average FEV1 and FVC of both groups, but the improvement in the intervention group was significantly greater than in the control group. There were 3 lung infections (10%) in the intervention group, which was significantly lower than the 7 cases (23.3%) in the control group. Conclusion Modified meridian breathing training can improve the lung function of acute stroke patients and reduce the incidence of lung infection. |
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