针刺配合呼吸肌训练治疗卒中后膈肌功能障碍的临床研究  

Clinical study of acupuncture combined with respiratory muscle training for post-stroke diaphragm dysfunction

作　　者：古剑珂 罗海龙[1] 李杰[1] 曾妍 姚惠琪 GU Jianke;LUO Hailong;LI Jie;ZENG Yan;YAO Huiqi(Meizhou People’s Hospital,Meizhou 514031,China)

机构地区：[1]梅州市人民医院,梅州514031

出　　处：《上海针灸杂志》2023年第6期570-574,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药局科研项目(20200426215856)。

摘　　要：目的观察针刺配合呼吸肌训练治疗卒中后膈肌功能障碍的临床疗效。方法将66例卒中后膈肌功能障碍患者随机分为治疗组和对照组,每组33例。治疗组采用针刺配合呼吸肌训练治疗,对照组采用单纯呼吸肌训练治疗。观察两组治疗前后各项呼吸功能指标(用力肺活量、最大吸气压、1秒用力呼气容积和最大呼气流量)、膈肌生理指标(膈肌运动度和膈肌厚度)及血气分析指标(氧分压、氧合指数和二氧化碳分压)的变化情况。结果两组治疗后各项呼吸功能指标、膈肌生理指标及氧分压、氧合指数均较同组治疗前显著上升,二氧化碳分压均显著下降,差异均具有统计学意义(P<0.05)。治疗组治疗后各项呼吸功能指标、膈肌生理指标和血气分析指标与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺配合呼吸肌训练是一种治疗卒中后膈肌功能障碍的有效方法,能改善患者呼吸功能及血气分析指标,提高膈肌运动度。Objective To observe the clinical efficacy of acupuncture combined with respiratory muscle training in treating post-stroke diaphragm dysfunction.Method Sixty-six patients with post-stroke diaphragm dysfunction were randomly divided into a treatment group and a control group,with 33 cases in each group.The treatment group received acupuncture and respiratory muscle training,while the control group only received respiratory muscle training.Before and after treatment,the respiratory function indicators(forced vital capacity,maximal inspiratory pressure,forced expiratory volume in one second and peak expiratory flow),physiological indexes of the diaphragm(diaphragm excursion and thickness),and blood gas analysis parameters(partial pressure of oxygen,oxygenation index and partial pressure of carbon dioxide)were observed for the two groups.Result After treatment,the respiratory function indicators,physiological indexes of the diaphragm,partial pressure of oxygen and oxygenation index increased notably in both groups,and partial pressure of carbon dioxide dropped significantly,all showing statistical significance(P<0.05).After intervention,the respiratory function indicators,physiological indexes of the diaphragm,and blood gas analysis parameters in the treatment group were significantly different from those in the control group(P<0.05).Conclusion Acupuncture plus respiratory muscle training is a practical approach for post-stroke diaphragm dysfunction;it can improve the patient’s respiratory function and blood gas analysis parameters and heighten diaphragm movement degree.

关 键 词：针刺疗法 膈肌功能障碍 呼吸功能 中风后遗症 呼吸肌训练 

分 类 号：R246.6[医药卫生—针灸推拿学]