Powerbreath呼吸训练仪在脊髓损伤患者康复训练中的应用价值

Application value of Powerbreath respiratory training instrument in rehabilitation training of patients with spinal cord injury

  • 摘要:
      目的  探讨Powerbreath呼吸训练仪在脊髓损伤(SCI)患者康复训练中的应用价值。
      方法  选取SCI患者60例,随机分为观察组与对照组各30例。对照组行常规综合康复治疗,观察组在对照组基础上联合应用Powerbreath呼吸训练仪治疗。入院时及治疗4周后,测定患者的静息心率(RHR)、平均动脉压(MBP)、血氧饱和度(SaO2)、最大吸气压(MIP)、峰值吸气流速(PIF)、用力肺活量(FVC)及肺部感染发生率。
      结果  经过4周治疗后, 2组患者的RHR、MBP均显著降低,但组间差异无统计学意义(P>0.05); 观察组患者的SaO2高于对照组患者,差异有统计学意义(P < 0.05)。经过4周治疗后,观察组患者的MIP、PIF及FVC均显著高于对照组(P < 0.05)。治疗4周后,观察组肺部感染发生率为6.67%, 显著低于对照组的23.33%(P < 0.05)。
      结论  应用Powerbreath呼吸训练仪治疗SCI患者可以提高最大吸气压、吸气峰流速、用力肺活量等指标水平,改善肺功能,降低肺部感染的发生率。

     

    Abstract:
      Objective  To investigate the value of Powerbreath respiratory training instrument in rehabilitation training of patients with spinal cord injury (SCI).
      Methods  Totally 60 patients with SCI were selected and randomly divided into observation group and control group, with 30 cases in each group. The control group was conducted with routine comprehensive rehabilitation treatment, while the observation group was treated with Powerbreath respiratory training instrument on the basis of the control group. At the time points of hospital admission and 4 weeks after treatment, rest heart rate (RHR), mean arterial blood pressure (MBP), oxygen saturation (SaO2), maximum inspiratory pressure (MIP), peak inspiratory flow (PIF), forced vital capacity (FVC) and the incidence rate of pulmonary infection were measured.
      Results  After 4 weeks of treatment, the RHR and MBP in both groups significantly reduced, but there were no significant differences between the two groups (P>0.05). The SaO2 of the observation group was significantly higher than that of the control group (P < 0.05). After 4 weeks of treatment, MIP, PIF and FVC in the observation group were significantly higher than those in the control group (P < 0.05). After 4 weeks of treatment, the incidence rate of pulmonary infection in the observation group was 6.67%, which was significantly lower than 23.33% in the control group (P < 0.05).
      Conclusion  Application of Powerbreathe respiratory training instrument is effective in the treatment of SCI patients, which can increase the levels of maximum inspiratory pressure, inspiratory peak flow and forced vital capacity, improve lung function, and reduce the incidence rate of pulmonary infection.

     

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