中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
29期
93-96
,共4页
谢丽娟%吴煌福%林春荣%王绿存
謝麗娟%吳煌福%林春榮%王綠存
사려연%오황복%림춘영%왕록존
呼吸训练%脑卒中%肺部感染
呼吸訓練%腦卒中%肺部感染
호흡훈련%뇌졸중%폐부감염
Breathing training%Stroke%Lung infection
目的：探讨呼吸训练对脑卒中后卧床患者肺部感染的效果。方法选择海南省农垦总医院东湖门诊康复科2011年1月~2013年1月收治的脑卒中患者80例为研究对象，将其分为观察组与对照组，所有患者均行基础治疗与护理，观察组增加呼吸训练项目。比较两组患者治疗前后肺功能、炎症因子水平及痰液培养情况的差异。结果治疗后，观察组患者一秒用力呼气容积、用力肺活量和白介素2分别为(45.98±4.37)%、(69.38±4.72)%和(8.31±2.17)pg/mL，对照组分别为(36.58±6.52)%、(60.54±4.30)%和(3.84±1.10)pg/mL，观察组显著高于对照组，差异均有统计学意义(均P<0.05)。观察组白细胞水平、C反应蛋白和白介素6水平分别为(8.38±3.39)×108/L、(58.49±12.10)mg/L和(21.19±4.39)pg/mL，对照组分别为(12.01±4.30)×108/L、(88.38±15.48)mg/L和(27.91±5.48)pg/mL，观察组显著低于对照组，差异均有统计学意义(均P<0.05)。观察组痰培养阳性率为2.50%，显著低于对照组(20.00%)，差异有统计学意义(P<0.05)。结论呼吸训练可以对脑卒中后卧床患者肺部感染的预防起到积极作用，其可改善患者肺功能，提高患者体内抗炎能力。
目的：探討呼吸訓練對腦卒中後臥床患者肺部感染的效果。方法選擇海南省農墾總醫院東湖門診康複科2011年1月~2013年1月收治的腦卒中患者80例為研究對象，將其分為觀察組與對照組，所有患者均行基礎治療與護理，觀察組增加呼吸訓練項目。比較兩組患者治療前後肺功能、炎癥因子水平及痰液培養情況的差異。結果治療後，觀察組患者一秒用力呼氣容積、用力肺活量和白介素2分彆為(45.98±4.37)%、(69.38±4.72)%和(8.31±2.17)pg/mL，對照組分彆為(36.58±6.52)%、(60.54±4.30)%和(3.84±1.10)pg/mL，觀察組顯著高于對照組，差異均有統計學意義(均P<0.05)。觀察組白細胞水平、C反應蛋白和白介素6水平分彆為(8.38±3.39)×108/L、(58.49±12.10)mg/L和(21.19±4.39)pg/mL，對照組分彆為(12.01±4.30)×108/L、(88.38±15.48)mg/L和(27.91±5.48)pg/mL，觀察組顯著低于對照組，差異均有統計學意義(均P<0.05)。觀察組痰培養暘性率為2.50%，顯著低于對照組(20.00%)，差異有統計學意義(P<0.05)。結論呼吸訓練可以對腦卒中後臥床患者肺部感染的預防起到積極作用，其可改善患者肺功能，提高患者體內抗炎能力。
목적：탐토호흡훈련대뇌졸중후와상환자폐부감염적효과。방법선택해남성농은총의원동호문진강복과2011년1월~2013년1월수치적뇌졸중환자80례위연구대상，장기분위관찰조여대조조，소유환자균행기출치료여호리，관찰조증가호흡훈련항목。비교량조환자치료전후폐공능、염증인자수평급담액배양정황적차이。결과치료후，관찰조환자일초용력호기용적、용력폐활량화백개소2분별위(45.98±4.37)%、(69.38±4.72)%화(8.31±2.17)pg/mL，대조조분별위(36.58±6.52)%、(60.54±4.30)%화(3.84±1.10)pg/mL，관찰조현저고우대조조，차이균유통계학의의(균P<0.05)。관찰조백세포수평、C반응단백화백개소6수평분별위(8.38±3.39)×108/L、(58.49±12.10)mg/L화(21.19±4.39)pg/mL，대조조분별위(12.01±4.30)×108/L、(88.38±15.48)mg/L화(27.91±5.48)pg/mL，관찰조현저저우대조조，차이균유통계학의의(균P<0.05)。관찰조담배양양성솔위2.50%，현저저우대조조(20.00%)，차이유통계학의의(P<0.05)。결론호흡훈련가이대뇌졸중후와상환자폐부감염적예방기도적겁작용，기가개선환자폐공능，제고환자체내항염능력。
Objective To analyze the effect of breathing training in the prevention of lung infection in the patients after the stroke. Methods 80 patients after the stroke in Donghu Outpatient of Hainan Provincial Nongken General Hospital from January 2011 to January 2013 were divided into observation group and control group. The control group was used conventional treatments and nursing plan and the observation group was additional used breathing training after the stroke. The difference of lung function, the level of inflammatory factor and the results of sputum culture between the two groups were compared. Results The levels of FEV1, FVC and IL-2 in the observation group were (45.98±4.37)%, (69.38±4.72)% and (8.31±2.17) pg/mL, which were higher than those in the control group [(36.58±6.52)%, (60.54±4.30)%, (3.84±1.10) pg/mL], there were statistically significant differences between two groups (all P < 0.05). The number of WBC in the observation group was (8.38±3.39)í108/L, and the CRP and IL-6 levels of the observation group were (58.49±12.10) mg/L and (21.19±4.39) pg/mL, which were less than those in the control group [(12.01±4.30)í108/L, (88.38±15.48) mg/L, (27.91±5.48) pg/mL], there were statistically significant differences between two groups (all P<0.05). The positive rate of sputum culture in the observation group was 2.50%, which was lower than that in the control group (20.00%). Conclusion It has a satisfactory effect to use breathing training in the prevention of lung infection in the patients after the stroke, with better lung function and anti-inflammatory ability.
