CAJ | 학술논문

呼吸功能障碍是脑卒中相关功能障碍的重要组成部分。脑卒中后呼吸中枢或相关运动通路损伤可直接引起呼吸模式的改变、呼吸肌肌力的下降；脑卒中继发肺炎、脑卒中伴睡眠呼吸暂停是其他常见且影响脑卒中患者预后的呼吸功能异常。临床常规体格检查是呼吸功能评价的基础。脑卒中患者尤其应注意呼吸模式、呼吸肌肌容积、肌张力的变化。指夹式脉搏血氧饱和度的监测可用于筛查中重度呼吸功能障碍；还可采用动脉血气分析、睡眠呼吸监测、力学、影像学和电生理手段对呼吸功能进行定量评价。呼吸功能康复的主要目的是增加吸气肌的肌力和耐力，提高咳嗽能力，改善睡眠呼吸暂停低通气现象，进而增强心肺适应能力，改善生活质量。
호흡공능장애시뇌졸중상관공능장애적중요조성부분。뇌졸중후호흡중추혹상관운동통로손상가직접인기호흡모식적개변、호흡기기력적하강；뇌졸중계발폐염、뇌졸중반수면호흡잠정시기타상견차영향뇌졸중환자예후적호흡공능이상。림상상규체격검사시호흡공능평개적기출。뇌졸중환자우기응주의호흡모식、호흡기기용적、기장력적변화。지협식맥박혈양포화도적감측가용우사사중중도호흡공능장애；환가채용동맥혈기분석、수면호흡감측、역학、영상학화전생리수단대호흡공능진행정량평개。호흡공능강복적주요목적시증가흡기기적기력화내력，제고해수능력，개선수면호흡잠정저통기현상，진이증강심폐괄응능력，개선생활질량。
Respiratory dysfunction is a significant part of disorders associated with stroke. Stroke could impair respiratory center or mo-tor pathway, leading to alter breath pattern or reduced respiratory muscle strength. Pneumonia secondary to stroke and stroke-associated sleep apnea are common respiratory disorder, which are adverse to the prognosis of stroke. Clinical routine physical examination is basic evaluation of respiratory function. Attention should be paid especially in breath pattern, respiratory muscle volume and muscle tone. Multi-ple quantitative assessments include arterial blood gas analysis, sleep apnea monitoring, dynamical, imaging and electrophysiological tests. Rehabilitation can be used to improve the inspiratory muscle strength, endurance and cough effectiveness, reduce sleep apnea hypoventila-tion, enhance the cardiorespiratory fitness, finally improve the quality of life in stroke patients.