體外膈肌起搏聯(lián)合呼吸訓(xùn)練在腦卒中后呼吸肌疲勞患者肺康復(fù)中的臨床效果分析

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【摘要】目的：探尋促進(jìn)腦卒中后呼吸肌疲勞患者肺康復(fù)的高效方案。方法：以60例腦卒中患者為研究對(duì)象，按隨機(jī)原則分為兩組，分別命名為觀察組和對(duì)照組，各30例。對(duì)照組給予常規(guī)治療與呼吸訓(xùn)練，觀察組基于對(duì)照組治療措施進(jìn)行體外膈肌起搏，對(duì)比兩組治療前后呼吸功能相關(guān)指標(biāo)。結(jié)果：治療后，觀察組FEV1/FVC及MVV水平明顯高于對(duì)照組，Borg評(píng)分低于對(duì)照組（P

【關(guān)鍵詞】腦卒中；呼吸肌疲勞；肺康復(fù)；體外膈肌起搏

Analysis of the clinical effect of extracorporeal diaphragmatic pacing combined with respiratory training in pulmonary rehabilitation of patients with respiratory muscle fatigue after stroke

TANG Jing

Karamay Second People’s Hospital （Rehabilitation Hospital）， Karamay， Xinjiang 834000， China

【Abstract】Objective：To explore the efficient programs to promote pulmonary rehabilitation in patients with respiratory muscle fatigue after stroke.Methods：60 stroke patients were randomly divided into two groups，named the observation group and the control group，with 30 cases in each group.The control group received conventional treatment and respiratory training，and the observation group performed extracorporeal diaphragmatic pacing based on the treatment measures of the control group，comparing the respiratory function related indicators before and after treatment between the two groups.Results：After treatment，the levels of FEV1/FVC and MVV in the observation group were significantly higher than those in the control group，and the Borg score was lower than that in the control group（P

【Key Words】Stroke； Respiratory muscle fatigue； Pulmonary rehabilitation； Extracorporeal diaphragmatic pacing

卒中后疲勞是腦卒中后的常見并發(fā)癥，是生理和心理因素共同作用的結(jié)果，與年齡、神經(jīng)功能缺損、焦慮、抑郁、睡眠障礙、吸煙、肺部并發(fā)癥等多因素相關(guān)[1]。（剩余4423字）