渐进式呼吸功能训练对格林-巴利综合征恢复期患者肺功能及生活质量的影响  

The effects of gradual functional respiratory training on the lung function and quality of life of patients convalescing from Guilliain-Barr6 syndrome

作　　者：李芳[1] 任秀贞[2] 陈文静[2] 

机构地区：[1]山东泰安市中心医院风湿免疫科, 泰安271000 [2]山东泰安市中心医院呼吸内科, 泰安271000

出　　处：《中华物理医学与康复杂志》2012年第8期600-604,共5页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的探讨渐进式呼吸功能训练对格林-巴利综合征患者肺功能及生活质量的影响。方法共选取格林-巴利综合征患者32例，将其随机分为2组，对照组给予神经内科常规护理，呼吸训练组在此基础上给予胸或腹式呼吸、深呼吸和呼吸操三阶段训练。在治疗2，4个月后，分别采用肺功能检测仪、6rain步行试验及SF-36简明量表对2组患者的肺功能、运动能力和生活质量进行评定。结果治疗2，4个月后，呼吸训练组与治疗前比较，啼功能指标[包括肺活量（VC）、用力肺活量（FVC）、1秒钟用力呼气容积（FEV1）、最大通气量（MVV）]均逐渐提高，且有统计学意义（P〈0．05）；6min步行试验及生活质量所含的8个领域评分均显著增高，有统计学意义（P〈0．01）。对照组肺功能指标（VC、FVC、FEV1、MVV）数据均逐渐降低，无统计学意义（P〉0．05）；6min步行试验及生活质量（躯体功能、心理健康、角色心理、身体疼痛和综合健康）5个领域评分逐渐增高，有统计学意义（P〈0．05）。结论格林一巴利综合征患者恢复期给予渐进式呼吸功能训练，能有效阻止因肌力减退所致的肺功能损害，可有效改善患者的肺功能、运动能力及生活雁量．Objective To quantify the effect of gradual respiratory functional training on the lung function and quality of life （QOL） of patients convalescing from Guillain-Barr6 syndrome （GBS）. Methods Thirty-two GBS patients were randomly divided into two groups a control group which received routine nursing and a respiratory function training group. The training was in three stages： thoracic or/and abdominal respiration, deep breathing and respiratory exercise. After 2 and 4 months of treatment, the 16 rain walk test and the SF-36 health questionnaire were used to evaluate the subjects＇ lung function, motor capacity and QOL. Results After 2 and 4 months of treatment, vital capacity （VC）, forced vital capacity （FVC）, forced expiratory volume in one second （FEV1） and maximal ventilatory volume （MVV） had all improved significantly in the training group. Their 6 rain walk distances and QOL （in all 8 domains） had also improved significantly. The average VC. FVC. FEV1 and MVV in the control group all decreased slightly but the decreases were not significant. Their 6 rain walk distances had improved significantly, how- ever, as had the physical function, mental health, psychological role, physical pain and integrated heahh domains of their QOL. Conclusion Training the respiratory functional of GBS patients during convalescence can prevent the lung function decay due to muscle weakness, and can also improve motor ability and QOL.

关 键 词：格林-巴利综合征 呼吸训练 肺功能 生活质量 

分 类 号：R746.43[医药卫生—神经病学与精神病学]