中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2012年
8期
600-604
,共5页
格林-巴利综合征%呼吸训练%肺功能%生活质量
格林-巴利綜閤徵%呼吸訓練%肺功能%生活質量
격림-파리종합정%호흡훈련%폐공능%생활질량
Guillain-Barré syndrome%Respiratory training%Lung function%Quality of life
目的 探讨渐进式呼吸功能训练对格林-巴利综合征患者肺功能及生活质量的影响.方法 共选取格林-巴利综合征患者32例,将其随机分为2组,对照组给予神经内科常规护理,呼吸训练组在此基础上给予胸或腹式呼吸、深呼吸和呼吸操三阶段训练.在治疗2,4个月后,分别采用肺功能检测仪、6 min步行试验及SF-36简明量表对2组患者的肺功能、运动能力和生活质量进行评定.结果 治疗2,4个月后,呼吸训练组与治疗前比较,肺功能指标[包括肺活量(VC)、用力肺活量(FVC)、1秒钟用力呼气容积(FEV1)、最大通气量(MVV)]均逐渐提高,且有统计学意义(P＜0.05)；6 min步行试验及生活质量所含的8个领域评分均显著增高,有统计学意义(P＜0.01).对照组肺功能指标( VC、FVC、FEV1、MVV)数据均逐渐降低,无统计学意义(P＞0.05);6 min步行试验及生活质量(躯体功能、心理健康、角色心理、身体疼痛和综合健康)5个领域评分逐渐增高,有统计学意义(P＜0.05).结论 格林-巴利综合征患者恢复期给予渐进式呼吸功能训练,能有效阻止因肌力减退所致的肺功能损害,可有效改善患者的肺功能、运动能力及生活质量.
目的 探討漸進式呼吸功能訓練對格林-巴利綜閤徵患者肺功能及生活質量的影響.方法 共選取格林-巴利綜閤徵患者32例,將其隨機分為2組,對照組給予神經內科常規護理,呼吸訓練組在此基礎上給予胸或腹式呼吸、深呼吸和呼吸操三階段訓練.在治療2,4箇月後,分彆採用肺功能檢測儀、6 min步行試驗及SF-36簡明量錶對2組患者的肺功能、運動能力和生活質量進行評定.結果 治療2,4箇月後,呼吸訓練組與治療前比較,肺功能指標[包括肺活量(VC)、用力肺活量(FVC)、1秒鐘用力呼氣容積(FEV1)、最大通氣量(MVV)]均逐漸提高,且有統計學意義(P＜0.05)；6 min步行試驗及生活質量所含的8箇領域評分均顯著增高,有統計學意義(P＜0.01).對照組肺功能指標( VC、FVC、FEV1、MVV)數據均逐漸降低,無統計學意義(P＞0.05);6 min步行試驗及生活質量(軀體功能、心理健康、角色心理、身體疼痛和綜閤健康)5箇領域評分逐漸增高,有統計學意義(P＜0.05).結論 格林-巴利綜閤徵患者恢複期給予漸進式呼吸功能訓練,能有效阻止因肌力減退所緻的肺功能損害,可有效改善患者的肺功能、運動能力及生活質量.
목적 탐토점진식호흡공능훈련대격림-파리종합정환자폐공능급생활질량적영향.방법 공선취격림-파리종합정환자32례,장기수궤분위2조,대조조급여신경내과상규호리,호흡훈련조재차기출상급여흉혹복식호흡、심호흡화호흡조삼계단훈련.재치료2,4개월후,분별채용폐공능검측의、6 min보행시험급SF-36간명량표대2조환자적폐공능、운동능력화생활질량진행평정.결과 치료2,4개월후,호흡훈련조여치료전비교,폐공능지표[포괄폐활량(VC)、용력폐활량(FVC)、1초종용력호기용적(FEV1)、최대통기량(MVV)]균축점제고,차유통계학의의(P＜0.05)；6 min보행시험급생활질량소함적8개영역평분균현저증고,유통계학의의(P＜0.01).대조조폐공능지표( VC、FVC、FEV1、MVV)수거균축점강저,무통계학의의(P＞0.05);6 min보행시험급생활질량(구체공능、심리건강、각색심리、신체동통화종합건강)5개영역평분축점증고,유통계학의의(P＜0.05).결론 격림-파리종합정환자회복기급여점진식호흡공능훈련,능유효조지인기력감퇴소치적폐공능손해,가유효개선환자적폐공능、운동능력급생활질량.
Objective To quantify the effect of gradual respiratory functional training on the lung function and quality of life (QOL) of patients convalescing from Guillain-Barré syndrome (GBS). Methods Thirty-two GBS patients were randomly divided into two groups a control group which received routine nursing and a respiratory function training group.The training was in three stages:thoracic or/and abdominal respiration,deep breathing and respiratory exercise.After 2 and 4 months of treatment,the 16 min walk test and the SF-36 health questionnaire were used to evaluate the subjects' lung function,motor capacity and QOL. Results After 2 and 4 months of treatment,vital capacity (VC),forced vital capacity (FVC),forced expiratory volume in one second (FEV1) and maximal ventilatory volume (MVV) had all improved significantly in the training group.Their 6 min walk distances and QOL ( in all 8 domains) had also improved significantly.The average VC.FVC.FEV1 and MVV in the control group all decreased slightly but the decreases were not significant.Their 6 min walk distances had improved significantly,however,as had the physical function,mental health.psychological role,physical pain and integrated health domains of their QOL. Conclusion Training the respiratory functional of GBS patients during convalescence can prevent the lung function decay due to muscle weakness,and can also improve motor ability and QOL.
