论文部分内容阅读
目的为了观察老年患者卒中后呼吸肌训练对卒中后呼吸相关并发症的影响。方法收集该院2012年1月一2015年1月年龄高于60岁的初次卒中患者124例,将其分为呼吸肌训练组(68例)和不进行呼吸肌训练的对照组(56例)。通过最大吸气压和最大呼气压力评估患者呼吸肌强度。结果较卒中后2周比,4周的呼吸肌训练后两组患者呼吸肌力量均有所增强。与对照组比,呼吸肌训练组的呼吸肌力量变化更多,最大吸气压和最大呼气压增加分别是[(19.2±15.1):(8.9±9.3)]与[(19.6±16.5):(9.2±16.9)]。此外,呼吸肌训练组肺部感染发生率较对照组明显降低[(2)2.9%:(9)16.1%)]。结论卒中后呼吸肌训练可提高卒中患者呼吸肌力量,减少呼吸系统并发症的发生。
Objective To investigate the effect of post-stroke respiratory muscle training on respiratory related complications in elderly patients after stroke. Methods A total of 124 first-episode stroke patients aged above 60 years old from January 2012 to January 2015 were collected and divided into respiratory muscle training group (68 cases) and non-respiratory muscle training group (56 cases) . Respiratory muscle strength was assessed by maximum inspiratory pressure and maximum expiratory pressure. Results Compared with the 2 weeks after stroke, the respiration muscle strength of both groups increased after 4 weeks of respiration muscle training. Compared with the control group, the respiration muscle strength of the respiratory muscle training group changed more, the maximal inspiratory pressure and the maximal expiratory pressure increase were [(19.2 ± 15.1) :( 8.9 ± 9.3)] and [(19.6 ± 16.5) (9.2 ± 16.9)]. In addition, the incidence of pulmonary infection in the respiratory muscle training group was significantly lower than that in the control group [(2) 2.9%: (9) 16.1%)]. Conclusion Respiratory muscle training after stroke can improve respiration muscle strength of stroke patients and reduce the incidence of respiratory complications.