功能性磁刺激联合呼吸康复技术在高海拔地区急性格林巴利综合征合并呼吸障碍患者中的应用研究  

Application of Acute Guillain-Barre Syndrome with Respiratory Disorders of Functional Magnetic Stimulation Combined with Respiratory Rehabilitation Techniques at High Altitude

作　　者：李瑜 张蓉[1] 金俏[1] 纳金花[1] 丁晓彤 陈建 Li Yu;Zhang Rong;Jin Qiao;Na Jinhua;Ding Xiaotong;Chen Jian(The People's Hospital of Qinghai,810007;Graduate School of Qinghai University,810001)

机构地区：[1]青海省人民医院,810007 [2]青海大学研究生院,810001

出　　处：《高原医学杂志》2021年第1期7-12,共6页Journal of High Altitude Medicine

基　　金：青海省卫生健康委员会指导性计划课题,课题编号:2019-wjzdx-20。

摘　　要：目的:探讨功能性磁刺激(FMS)联合呼吸康复技术对高海拔地区急性格林巴利综合征(AGBS)合并呼吸障碍患者呼吸功能的影响。方法:收集2019年1月—2020年6月我院收治的30例AGBS合并呼吸障碍的患者采用随机数字法分为A、B、C3组各10例,A组为单纯药物治疗,B组在药物治疗基础上增加呼吸康复治疗,C组在B组治疗基础上增加FMS治疗。入选前及治疗4周后对各组患者最大吸气压(MIP)、最大呼气压(MEP)、用力肺活量(FVC)、一秒用力肺活量(FEV1)、呼吸频率、吸入氧浓度(FiO_(2))、指脉氧饱和度(SpO_(2))、Borg评分、MRC问卷调查、MBI进行评定。结果:治疗后A组患者MIP、MEP、FVC、FEV1、呼吸频率、FiO_(2)、SpO_(2)、Borg、MRC、MBI均与治疗前无差异(P>0.05);B组患者MIP、MEP、FVC、FEV1、FiO_(2)、SpO_(2)、Borg、MRC、MBI均优于治疗前(P<0.05);C组患者MIP、MEP、FVC、FEV1、呼吸频率、FiO_(2)、SpO_(2)、Borg、MRC、MBI均优于治疗前(P<0.05)。B组患者治疗后MIP、MEP、FVC、FEV1、FiO_(2)、SpO_(2)、Borg、MBI优于A组治疗后(P<0.05);C组患者治疗后MIP、MEP、FVC、FEV1、FiO_(2)、SpO_(2)、Borg、MRC、MBI优于A组治疗后(P<0.05);C组患者治疗后MIP、MEP、FVC、FEV1、FiO_(2)、Borg、MBI优于B组治疗后(P<0.05)。结论:FMS联合呼吸康复治疗能有效改善高海拔地区AGBS合并呼吸障碍患者的呼吸功能。Objective:The purpose of this study is to observe the effect of functional magnetic stimulation(FMS)combined with respiratory rehabilitation technique on respiratory function in patients with acute GuillainBarre syndrome(AGBS)complicated with respiratory disorders at high altitude area.Methods:Collect January 2019 to June 2020 admitted to our hospital,30 AGBS patients with respiratory disorders were divided into three groups by random number method:group A,group B and group C.Group A was treated with drug therapy alone,group B was treated with respiratory rehabilitation on the basis of drug therapy,and group C and group B were treated with FMS on the basis of drug therapy.Before inclusion and 4 weeks after treatment,maximum inspiratory pressure(MIP),maximum respiratory pressure(MEP),forced vital capacity(FVC),forced vital capacity in one second(FEV1),respiratory rate,inhaled oxygen concentration(FiO_(2)),finger pulse oxygen saturation(SpO_(2)),Borg score,MRC questionnaire survey and MBI were evaluated.Results:After treatment,MIP,MEP,FVC,FEV1,respiratory rate,FiO_(2),SpO_(2),Borg,MRC and MBI in group A were not significantly different from those before treatment(P>0.05).MIP,MEP,FVC,FEV1,FiO_(2),SpO_(2),Borg,MRC and MBI in group B were better than before(P<0.05).MIP,MEP,FVC,FEV1,respiratory rate,FiO_(2),SpO_(2),Borg,MRC and MBI in group C were better than those before treatment(P<0.05).Comparison of MIP,MEP,FVC,FEV1,FiO_(2),SpO_(2),Borg and MBI in group B after treatment was better than that in group A(P<0.05).MIP,MEP,FVC,FEV1,FiO_(2),SpO_(2),Borg,MRC and MBI in group C were better than those in group A after treatment(P<0.05);while MIP,MEP,FVC,FEV1,FiO_(2),Borg and MBI in group C were better than those in group B after treatment(P<0.05).Conclusions:FMS combined with respiratory rehabilitation therapy can effectively improve the respiratory function of patients with AGBS complicated with respiratory disorders.

关 键 词：呼吸康复技术 功能性磁刺激 急性格林巴利综合征 呼吸障碍 

分 类 号：R493[医药卫生—康复医学] R745[医药卫生—临床医学]