吸气肌训练对脑卒中患者吸气肌功能及运动耐力影响的临床观察

发布时间：2018-05-17 11:49

本文选题：脑卒中 + 吸气肌训练　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过使用Power Breathe K5压力阈值吸气肌训练器对脑卒中患者进行吸气肌训练(IMT),观察IMT对脑卒中患者吸气肌功能及下肢运动耐力的影响。方法:将符合纳入标准和排除标准的50例卒中患者纳入本研究,采用随机分组的方法分为训练组(25例)和对照组(25例)。两组患者均应用常规药物治疗及康复科常规治疗(包括肢体功能康复及针灸治疗)。训练组在常规传统康复治疗的基础上使用Power Breathe K5吸气肌训练器进行带有阈值阻力的吸气肌训练,阻力值LOAD=30%MIP最大口腔吸气压(Maximum Inspiratory Pressure,MIP)(依据每周重新测得的 MIP 值,相应调整吸气训练阻力);对照组在常规传统康复治疗的基础上,增加无效阈值阻力LOAD=3cmH20的吸气肌训练。IMT训练30次为1组,2组/日,6日/周,共训练6周。利用K5记录参与者吸气肌功能指标:吸气肌肌力指数 S-index/MIP(cmH2O)、吸气流速峰值(Peak of Inspiratory Flow,PIF)(L/s)、吸入空气量Volume(L)、能量Energy(J);利用改良Barthel指数(Modified Barthel Index,MBI)对日常生活能力进行评定;利用床旁自主MotoMed有氧踏车时间M(min)对运动耐力进行评估。同时各指标均在训练前后由同一人进行评定。结果:1)训练前,训练组与对照组各指标无显著性差异,具有可比性(P0.05)。2)训练后,MIP、PIF:训练组组内比较,结果高于训练前(P0.01),对照组组内比较结果无显著性差异(P0.05),两组组间比较,训练组高于对照组(P0.01);Energy:训练组组内比较,结果高于训练前(P0.01),对照组组内比较结果无显著性差异(P0.05),两组组间比较,训练组高于对照组(P0.05);Volume:训练组、对照组组内比较结果均无显著性差异(P0.05),两组组间比较结果无显著性差异(P0.05)。MBI评分:训练组组内比较,结果高于训练前(P0.01),对照组组内比较,结果高于训练前(P0.01),两组组间比较,训练组高于对照组,有显著性差异(P0.05);踏车时间M:训练组组内比较,结果长于训练前,有极显著性差异(P0.01),对照组组内比较,结果长于训练前(P0.01),两组组间比较,训练组踏车时间长于对照组,有极显著性差异(P0.01);结论:1.卒中后进行吸气肌训练能够改善患者运动耐力;2.卒中后进行吸气肌训练能够提高患者日常生活能力;3.卒中后进行吸气肌训练能够改善患者吸气肌功能;
[Abstract]:Aim: to observe the effects of Power Breathe K5 pressure threshold inspiratory muscle training device on inspiratory muscle function and lower limb motor endurance of stroke patients. Methods: 50 stroke patients who met the inclusion criteria and exclusion criteria were randomly divided into two groups: training group (n = 25) and control group (n = 25). Both groups were treated with routine drug therapy and rehabilitation therapy (including limb function rehabilitation and acupuncture therapy). On the basis of conventional rehabilitation therapy, the training group used Power Breathe K5 inspiratory muscle trainer to train the inspiratory muscle with threshold resistance. The value of LOAD=30%MIP maximum oral suction pressure was maximum Inspiratory pressure MIPU (based on the weekly MIP value. On the basis of conventional rehabilitation therapy, the inspiratory muscle training of the control group with increasing the invalid threshold resistance (LOAD=3cmH20) for 30 times was divided into two groups (group 1 / day, 6 days / week) for 6 weeks. K5 was used to record inspiratory muscle function of participants: inspiratory muscle strength index S-index-MIP / cm H _ 2O, peak inspiratory velocity peak of Inspiratory flow rate PIFF / L / s ~ (-1), inhaled air volume (Volume) / L ~ (+), energy ~ J ~ (-1), modified Barthel index (modified Barthel index) were used to evaluate daily living ability. Exercise endurance was evaluated by MotoMed aerobic treadmill time beside bed. At the same time, each index was evaluated by the same person before and after training. Results: before training, there was no significant difference between the training group and the control group, but there was a comparable comparison between the two groups. After training, the results were higher in the training group than in the control group (P 0.01), but there was no significant difference in the comparison between the two groups (P 0.05). The results of training group were higher than that of control group (P 0.01), but there was no significant difference between control group and control group (P 0.05). The training group was higher than control group (P 0.05) and the training group was higher than that of control group (P < 0.05). There was no significant difference in the results of comparison between the two groups in the control group (P 0.05). There was no significant difference in the comparison results between the two groups. The results in the training group were higher than those in the pre-training group (P 0.01), the results in the control group were higher than those in the control group (P 0.01), and the comparison between the two groups was also significant. The training group was higher than the control group (P 0.05), the treadmill time (M) was longer than that before training (P 0.01), and the results in the control group were longer than that before training (P 0.01). The treadmill time in the training group was longer than that in the control group, and there was a significant difference between the two groups (P < 0.01). Inspiratory muscle training after stroke can improve the exercise endurance of patients. Inspiratory muscle training after stroke can improve the ability of daily life of patients. Inspiratory muscle training after stroke can improve the function of inspiratory muscle.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3;R493

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