Effects of Breath Training Pattern “End-Inspiratory Pause” on Respiratory Mechanics and Arterial Blo

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Objective:In order to explore the mechanism of Chinese traditional breath training, theeffects of end-inspiratory pause breathing (EIPB) on the respiratory mechanics and arterial blood gas werestudied in patients with chronic obstructive pulmonary disease (COPD). Methods: Ten patients in steadystage participating in the study had a breath training of regulating the respiration rhythm as to having apause between the deep and slow inspiration and the slow expiration. Effect of the training was observed byvisual feedback from the screen of the respiratory inductive plethysmograph. The dynamic change of par-tial pressure of oxygen saturation in blood (SpO2) was recorded with sphygmo-oximeter, the pulmonarymechanics and EIPB were determined with spirometer, and the data of arterial blood gases in tranquilizedbreathing and EIPB were analysed. Results: After EIPB training, SpO2 increased progressively, PaO2 in-creased and PaCO2 decreased, and the PaO2 increment was greater than the PaCO2 decrement. Further-more, the tidal volume increased and the frequency of respiration decreased significantly, both inspirationtime and expiration time were prolonged. There was no significant change in both mean inspiration flowrate (VT/Ti) and expiration flow rate (VT/Te). The baselines in spirogram during EIPB training had noraise. Conclusion: EIPB could decrease the ratio of the dead space and tidal volume (VD/VT), cause in-crease of PaO2 more than the decrease of PaCO2, suggesting that this training could improve both the func-tion of ventilation and gaseous exchange in the lung. EIPB training might be a breathing training patternfor rehabilitation of patients with COPD.
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