渐进抗阻吸气肌训练对颈髓损伤患者呼吸功能影响的研究

发布时间：2018-03-30 23:34

本文选题：吸气肌训练　切入点：脊髓损伤　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过对比吸气肌训练结合呼吸训练法与单纯呼吸训练法两种方式治疗颈髓损伤后呼吸功能障碍,评价两种方法在治疗效果上的差异,进一步研究渐进抗阻吸气肌训练在改善颈髓损伤患者呼吸功能方面的作用,为颈髓损伤患者的康复治疗提供新的思路,优化呼吸功能训练方案。方法:将符合纳入标准的46例颈髓损伤患者随机分为吸气肌训练结合呼吸训练组(试验组)和呼吸训练组(对照组)。对所有纳入患者给予脊髓损伤常规针刺,康复训练及对症支持治疗。对照组23例每日进行呼吸训练2次,每次12分钟。试验组23例每日进行吸气肌训练2组,每组30次呼吸;呼吸训练2次,每次12分钟。疗程:每周治疗6天,六周为一个疗程。治疗前及治疗一个疗程后分别记录MIP、PIF、VC、FEV1.0%以及改良Borg Scale呼吸困难指数,使用SPSS20.0统计软件进行统计分析。结果:1.试验组和对照组经治疗后MIP评分与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种训练方法均可以提高吸气肌功能,两组患者组间比较,差异具有统计学意义(P0.01),试验组优于对照组。2.试验组和对照组经治疗后PIF评分与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种训练方法均可以提高吸气肌快速收缩、克服阻力的能力,两组患者组间比较,差异具有统计学意义(P0.01),试验组优于对照组。3.试验组和对照组经治疗后VC与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种训练方法均可以提高肺功能,两组患者组间比较,差异具有统计学意义(P0.01),试验组优于对照组。4.试验组和对照组经治疗后FEV1.0%与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种训练方法均可以提高肺功能,两组患者组间比较,差异具有统计学意义(P0.01),试验组优于对照组。5.试验组和对照组经治疗后Borg Scale呼吸困难指数与疗前相比均有明显下降,差异具有统计学意义(P0.01),说明两种训练方法均可以改善呼吸困难程度,两组患者组间比较,差异具有统计学意义(P0.01),试验组优于对照组。结论:1.传统呼吸训练和渐进抗阻吸气肌训练结合传统呼吸训练均能改善颈髓损伤患者的吸气肌功能、肺功能及呼吸困难程度。2.渐进抗阻吸气肌训练结合传统呼吸训练对于改善颈髓损伤患者呼吸功能作用更加显著,优于单纯传统呼吸训练。
[Abstract]:Objective: to compare inspiratory muscle training with breathing training and respiratory training to treat respiratory dysfunction after cervical spinal cord injury, and to evaluate the difference between the two methods in the treatment of respiratory dysfunction after cervical spinal cord injury.To further study the role of progressive anti-inspiratory muscle training in improving the respiratory function of patients with cervical spinal cord injury, to provide a new idea for rehabilitation treatment of patients with cervical spinal cord injury, and to optimize the training program of respiratory function.Methods: 46 patients with cervical spinal cord injury were randomly divided into inspiratory muscle training combined with respiratory training group (experimental group) and respiratory training group (control group).All patients were given routine acupuncture, rehabilitation training and symptomatic support for spinal cord injury.The control group (23 cases) received breathing training twice a day for 12 minutes.The experimental group (23 cases) received inspiratory muscle training (group 2) for 30 breaths and two breathing exercises for 12 minutes each day.Course of treatment: 6 days a week, 6 weeks as a course of treatment.Before treatment and after one course of treatment, 1.0% of the patients were recorded and the modified Borg Scale dyspnea index was recorded respectively. SPSS20.0 statistical software was used to analyze the dyspnea index.The result is 1: 1.The MIP scores of the experimental group and the control group after treatment were significantly higher than those before the treatment, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the inspiratory muscle function, and the two groups were compared.The difference was statistically significant (P 0.01), and the test group was superior to the control group (P 0.01).The PIF scores of the experimental group and the control group after treatment were significantly higher than those before treatment, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the ability of rapid contraction of inspiratory muscle and overcome resistance.The difference was statistically significant (P 0.01), and the experimental group was better than the control group.After treatment, the VC of the experimental group and the control group were significantly higher than that of the control group, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the lung function, and the two groups were compared with each other.The difference was statistically significant (P 0.01), and the test group was superior to the control group (P 0.01).The FEV 1.0% in the experimental group and the control group were significantly higher than that before the treatment, and the difference was statistically significant (P 0.01), which indicated that both the two training methods could improve the lung function, and the comparison between the two groups was made.The difference was statistically significant (P 0.01), and the test group was superior to the control group (P 0.05).After treatment, the Borg Scale dyspnea index in the experimental group and the control group was significantly lower than that before treatment, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the degree of dyspnea.The difference was statistically significant (P 0.01), and the experimental group was superior to the control group.Conclusion 1.Traditional breathing training and progressive anti-inspiratory muscle training combined with traditional breathing training can improve inspiratory muscle function, lung function and respiratory difficulty of patients with cervical spinal cord injury.Progressive anti-inspiratory muscle training combined with traditional breathing training was more effective than traditional respiratory training in improving respiratory function of patients with cervical spinal cord injury.
【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】：R651.2;R493

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