基于阶段性训练理论的肺康复对卒中相关性肺炎患者肺功能及临床疗效的作用分析  

Effect of pulmonary rehabilitation on pulmonary function and clinical outcome in patients with stroke-associated pneumonia based on staged training theory

作　　者：唐子文[1] 崔颖 TANG Zi-wen;CUI ying(Department of Infectious Diseases,Zunhua People's Hospital,Tangshan,Hebei 064200,China;Nursing and Rehabilitation College,North China University of Science and Technology,Tangshan,Hebei 063210,China)

机构地区：[1]遵化市人民医院感染性疾病科,河北唐山064200 [2]华北理工大学护理与康复学院,河北唐山063210

出　　处：《临床肺科杂志》2020年第9期1367-1370,共4页Journal of Clinical Pulmonary Medicine

基　　金：河北省卫健委医学科学研究课题计划项目(No.20191094)。

摘　　要：目的观察在阶段性训练理论指导下肺康复训练联合常规治疗在卒中相关性肺炎中的临床疗效。方法按随机数字表法将59例卒中相关性肺炎患者分为观察组(29例)、对照组(30例)。2组患者均给予常规抗感染、促进排痰等基础治疗,观察组患者在上述治疗基础上增加基于阶段性训练理论的肺康复训练;对照组给予常规肺康复训练。分别于治疗前、治疗2周后使用:肺功能、临床肺部感染评分(clinical pulmonaryinfection score,CPIS)评价其肺功能,同时测定治疗前后白细胞介素-4(Interleukin-4、IL-4)、白细胞介素-10(Interleukin-10、IL-10)。结果治疗前,2组患者肺功能、CPIS评分、IL-4、IL-10比较,差异无统计学意义(P>0.05)。治疗2周后评估发现,组内比较,2组患者较治疗前肺功能、CPIS评分、IL-4、IL-10差异有统计学意义(P<0.01);组间比较,观察组肺功能、CPIS评分分值优于对照组,IL-4、IL-10水平降低,差异有统计学意义(P<0.05)。同时,观察组总有效率为92.3%,较对照组64.0%更优,差异有统计学意义(P<0.05);结论基于阶段性训练理论的肺康复训练对卒中相关性肺炎患者效果满意,可有效改善患者肺功能和呼吸状态,是临床有效的治疗方法。Objective To observe the clinical effect of pulmonary rehabilitation training combined with routine treatment in stroke-related pneumonia under the guidance of stage training theory.Methods 59 cases of stroke-related pneumonia were divided into the observation group(29 cases)and the control group(30 cases).All patients were given conventional basic treatment such as anti-infection and promoting sputum excretion.The observation group was given periodic lung rehabilitation training based on the theory of phased training on the basis of the above treatment,and the control group was given routine lung rehabilitation training.Pulmonary function was evaluated with clinical pulmonary infection score(CPIS)before and 2 weeks after treatment,and interleukin-4(IL-4)and interleukin-10(IL-10)were also determined before and after treatment.Results Before treatment,lung function,CPIS score,IL-4 and IL-10 were compared between the two groups,and the differences were not statistically significant(P>0.05).2 weeks after treatment,the evaluation showed that there were statistically significant differences in lung function,CPIS score,IL-4 and IL-10 between the two groups(P<0.01).The lung function and CPIS scores of the observation group were better than those of the control group,and the levels of IL-4 and IL-10 were obviously lower(P<0.05).Meanwhile,the total effective rate of the observation group was 92.3%,better than 64%of the control group(P<0.05).Conclusion Pulmonary rehabilitation training based on the periodical training theory is satisfactory to the patients with stroke related pneumonia,which can effectively improve the patients'lung function and respiratory state.It is an effective clinical treatment method.

关 键 词：肺康复 卒中 肺炎 肺功能 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学] R563.1