吸气肌训练对亚急性期完全性高位颈脊髓损伤患者呼吸功能的影响  

Effects of inspiratory muscle training in patients with subacute complete high cervical spinal cord injury

作　　者：李伊 张晨曦 牛光宇 姜宏英 LI Yi;ZHANG Chenxi;NIU Guangyu(Beijing Rehabilitation Hospital of Capital Medical University,Beijing,100144)

机构地区：[1]首都医科大学附属北京康复医院呼吸与危重症医学科,北京市100144

出　　处：《中国康复医学杂志》2025年第1期61-66,共6页Chinese Journal of Rehabilitation Medicine

基　　金：首都医科大学附属北京康复医院2020-2022年临床研究项目专项-青年项目(2020-029)。

摘　　要：目的:探讨吸气肌训练对于亚急性期完全性高位颈脊髓损伤(C2—C5)患者呼吸功能的影响。方法:选取2020年1月至2021年6月首都医科大学附属北京康复医院呼吸与危重症医学科亚急性期完全性高位颈脊髓损伤(C2—C5)ASIA A级患者60例,采用数字随机表法分为对照组和试验组,各30例。对照组采用常规康复治疗,试验组在此基础上增加吸气肌训练。康复治疗前和康复治疗6周后,比较两组呼吸功能指标,包括最大吸气压(PImax)、肺活量(VC)、用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、分钟最大通气量(MVV)和膈肌厚度,以及肺部感染发生率。结果:康复治疗后,试验组PImax、VC、FVC、FEV_(1)、MVV和膈肌厚度改善明显优于对照组(P<0.05),试验组肺部感染发生率显著下降(P<0.05)。结论:常规康复治疗基础上增加吸气肌训练可显著改善亚急性期完全性高位颈脊髓损伤患者的呼吸功能,并能降低肺部感染发生例数。Objective:To investigate the role of inspiratory muscle training in improving the respiratory function of patients with subacute complete high cervical spinal cord injury(C2-C5).Method:From January 2020 to June 2021,60 patients with subacute complete cervical spinal cord injury(C2—C5)ASIA level A were randomly divided into experimental group(n=30)and control group(n=30).The patients in control group were conducted with routine rehabilitation training,in experimental group,inspiratory muscle training was added on the basis of routine rehabilitation treatment.Before and after training for a total of 6 weeks,maximum inspiratory pressure(PImax),vital capacity(VC),forced expiratory vital capacity(FVC),forced expiratory volume in the first second(FEV1),maximal ventilatory volume(MVV),and diaphragm thickness were measured,the cases of pulmonary infection were counted.Result:After the training,the improvement of PImax,VC,FVC,FEV1,MVV and diaphragm thickness in patients in experimental group were significantly better than that in patients in control group(P<0.05),and the rate of pulmonary infection was lower(P<0.05).Conclusion:Inspiratory muscle training added on the basis of routine rehabilitation treatment can significantly improve the respiratory function of patients with subacute complete high cervical spinal cord injury.

关 键 词：颈脊髓损伤 吸气肌训练 呼吸功能 

分 类 号：R651.2[医药卫生—外科学] R493[医药卫生—临床医学]