吸气肌训练联合电刺激膈神经对COPD患者膈肌疲劳及肺功能的影响  

Effects of Inspiratory Muscle Training Combined with Electrical Stimulation of Phrenic Nerve on Diaphragm Fatigue and Pulmonary Function in Patients with COPD

作　　者：赵无瑕 赵天玲 李文君 ZHAO Wu-xia;ZHAO Tian-ling;LI Wen-jun(Department of Rehabilitation Medicine,Henan Staff hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南省职工医院康复医学科,河南郑州450000

出　　处：《罕少疾病杂志》2023年第2期48-49,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨吸气肌训练联合电刺激膈神经对慢性阻塞性肺疾病(COPD)患者膈肌疲劳及肺功能的影响。方法选取2019年10月至2021年12月期间于本院就诊的COPD患者98例,随机分组,即观察组和对照组,每组各49例。对照组予以基础治疗措施,观察组在对照组基础上予以吸气肌训练联合电刺激膈神经。比较两组治疗前后的膈肌活动、肺功能、运动耐力、呼吸困难评分。结果较于治疗前,两组治疗后腹横肌增厚率、膈肌活动度均有改善,观察组治疗后腹横肌增厚率、膈肌活动度改善程度更为明显(P<0.05)。相较于治疗前,两组治疗后FEV1/FVC、FEV1、MVV均有改善,观察组治疗后FEV1/FVC、FEV1、MVV水平改善程度更为明显(P<0.05)。相较于治疗前,两组治疗后运动耐力和呼吸困难评分均有改善,观察组治疗后运动耐力和呼吸困难评分显著改善(P<0.05)。结论吸气肌训练联合电刺激膈神经治疗有助于改善COPD患者膈肌疲劳状态,促进患者肺功能的恢复,还可显著提高患者运动耐力。Objective To investigate the effect of inspiratory muscle training combined with electrical stimulation of phrenic nerve on diaphragm fatigue and pulmonary function in patients with chronic obstructive pulmonary disease(COPD).Methods Ninety-eight patients with COPD who visited our hospital from October 2019 to December 2021 were randomly divided into observation group and control group,with 49 cases in each group.The control group was given basic treatment measures,and the observation group was given inspiratory muscle training combined with electrical stimulation of phrenic nerve on the basis of control group.Diaphragm activity,lung function,exercise endurance and dyspnea scores were compared between the two groups before and after treatment.Results Compared with before treatment,the thickening rate of transversus abdominis and the activity of diaphragm in both groups were improved after treatment,and the improvement of thickening rate of transversus abdominis and activity of diaphragm in observation group were more obvious after treatment(P<0.05).Compared with before treatment,the levels of FEV1/FVC,FEV1,and MVV in the two groups were improved after treatment,and the levels of FEV1/FVC,FEV1,and MVV in the observation group were improved more significantly after treatment(P<0.05).Compared with before treatment,the scores of exercise tolerance and dyspnea in the two groups were improved after treatment,and the scores of exercise tolerance and dyspnea in the observation group were significantly improved after treatment(P<0.05).Conclusion Inspiratory muscle training combined with electrical stimulation of phrenic nerve therapy can improve the diaphragm fatigue state in COPD patients,promote the recovery of lung function,and also significantly improve the exercise endurance of patients.

关 键 词：吸气肌训练 电刺激膈神经 慢性阻塞性肺疾病 膈肌疲劳 肺功能 

分 类 号：R563[医药卫生—呼吸系统]