本文選題：腦卒中 + 吸氣肌訓(xùn)練��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過使用Power Breathe K5壓力閾值吸氣肌訓(xùn)練器對腦卒中患者進(jìn)行吸氣肌訓(xùn)練(IMT),觀察IMT對腦卒中患者吸氣肌功能及下肢運動耐力的影響。方法:將符合納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn)的50例卒中患者納入本研究,采用隨機(jī)分組的方法分為訓(xùn)練組(25例)和對照組(25例)。兩組患者均應(yīng)用常規(guī)藥物治療及康復(fù)科常規(guī)治療(包括肢體功能康復(fù)及針灸治療)。訓(xùn)練組在常規(guī)傳統(tǒng)康復(fù)治療的基礎(chǔ)上使用Power Breathe K5吸氣肌訓(xùn)練器進(jìn)行帶有閾值阻力的吸氣肌訓(xùn)練,阻力值LOAD=30%MIP最大口腔吸氣壓(Maximum Inspiratory Pressure,MIP)(依據(jù)每周重新測得的 MIP 值,相應(yīng)調(diào)整吸氣訓(xùn)練阻力);對照組在常規(guī)傳統(tǒng)康復(fù)治療的基礎(chǔ)上,增加無效閾值阻力LOAD=3cmH20的吸氣肌訓(xùn)練。IMT訓(xùn)練30次為1組,2組/日,6日/周,共訓(xùn)練6周。利用K5記錄參與者吸氣肌功能指標(biāo):吸氣肌肌力指數(shù) S-index/MIP(cmH2O)、吸氣流速峰值(Peak of Inspiratory Flow,PIF)(L/s)、吸入空氣量Volume(L)、能量Energy(J);利用改良Barthel指數(shù)(Modified Barthel Index,MBI)對日常生活能力進(jìn)行評定;利用床旁自主MotoMed有氧踏車時間M(min)對運動耐力進(jìn)行評估。同時各指標(biāo)均在訓(xùn)練前后由同一人進(jìn)行評定。結(jié)果:1)訓(xùn)練前,訓(xùn)練組與對照組各指標(biāo)無顯著性差異,具有可比性(P0.05)。2)訓(xùn)練后,MIP、PIF:訓(xùn)練組組內(nèi)比較,結(jié)果高于訓(xùn)練前(P0.01),對照組組內(nèi)比較結(jié)果無顯著性差異(P0.05),兩組組間比較,訓(xùn)練組高于對照組(P0.01);Energy:訓(xùn)練組組內(nèi)比較,結(jié)果高于訓(xùn)練前(P0.01),對照組組內(nèi)比較結(jié)果無顯著性差異(P0.05),兩組組間比較,訓(xùn)練組高于對照組(P0.05);Volume:訓(xùn)練組、對照組組內(nèi)比較結(jié)果均無顯著性差異(P0.05),兩組組間比較結(jié)果無顯著性差異(P0.05)。MBI評分:訓(xùn)練組組內(nèi)比較,結(jié)果高于訓(xùn)練前(P0.01),對照組組內(nèi)比較,結(jié)果高于訓(xùn)練前(P0.01),兩組組間比較,訓(xùn)練組高于對照組,有顯著性差異(P0.05);踏車時間M:訓(xùn)練組組內(nèi)比較,結(jié)果長于訓(xùn)練前,有極顯著性差異(P0.01),對照組組內(nèi)比較,結(jié)果長于訓(xùn)練前(P0.01),兩組組間比較,訓(xùn)練組踏車時間長于對照組,有極顯著性差異(P0.01);結(jié)論:1.卒中后進(jìn)行吸氣肌訓(xùn)練能夠改善患者運動耐力;2.卒中后進(jìn)行吸氣肌訓(xùn)練能夠提高患者日常生活能力;3.卒中后進(jìn)行吸氣肌訓(xùn)練能夠改善患者吸氣肌功能;
[Abstract]:Aim: to observe the effects of Power Breathe K5 pressure threshold inspiratory muscle training device on inspiratory muscle function and lower limb motor endurance of stroke patients. Methods: 50 stroke patients who met the inclusion criteria and exclusion criteria were randomly divided into two groups: training group (n = 25) and control group (n = 25). Both groups were treated with routine drug therapy and rehabilitation therapy (including limb function rehabilitation and acupuncture therapy). On the basis of conventional rehabilitation therapy, the training group used Power Breathe K5 inspiratory muscle trainer to train the inspiratory muscle with threshold resistance. The value of LOAD=30%MIP maximum oral suction pressure was maximum Inspiratory pressure MIPU (based on the weekly MIP value. On the basis of conventional rehabilitation therapy, the inspiratory muscle training of the control group with increasing the invalid threshold resistance (LOAD=3cmH20) for 30 times was divided into two groups (group 1 / day, 6 days / week) for 6 weeks. K5 was used to record inspiratory muscle function of participants: inspiratory muscle strength index S-index-MIP / cm H _ 2O, peak inspiratory velocity peak of Inspiratory flow rate PIFF / L / s ~ (-1), inhaled air volume (Volume) / L ~ (+), energy ~ J ~ (-1), modified Barthel index (modified Barthel index) were used to evaluate daily living ability. Exercise endurance was evaluated by MotoMed aerobic treadmill time beside bed. At the same time, each index was evaluated by the same person before and after training. Results: before training, there was no significant difference between the training group and the control group, but there was a comparable comparison between the two groups. After training, the results were higher in the training group than in the control group (P 0.01), but there was no significant difference in the comparison between the two groups (P 0.05). The results of training group were higher than that of control group (P 0.01), but there was no significant difference between control group and control group (P 0.05). The training group was higher than control group (P 0.05) and the training group was higher than that of control group (P < 0.05). There was no significant difference in the results of comparison between the two groups in the control group (P 0.05). There was no significant difference in the comparison results between the two groups. The results in the training group were higher than those in the pre-training group (P 0.01), the results in the control group were higher than those in the control group (P 0.01), and the comparison between the two groups was also significant. The training group was higher than the control group (P 0.05), the treadmill time (M) was longer than that before training (P 0.01), and the results in the control group were longer than that before training (P 0.01). The treadmill time in the training group was longer than that in the control group, and there was a significant difference between the two groups (P < 0.01). Inspiratory muscle training after stroke can improve the exercise endurance of patients. Inspiratory muscle training after stroke can improve the ability of daily life of patients. Inspiratory muscle training after stroke can improve the function of inspiratory muscle.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R743.3;R493

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 郭佳寶;朱毅;;吸氣肌訓(xùn)練的臨床研究進(jìn)展[J];中國康復(fù)醫(yī)學(xué)雜志;2014年09期

2 蔡業(yè)峰;賈真;李偉峰;文龍龍;張燕婷;郭建文;歐愛華;梁偉雄;裴建;黃燕;黃培新;;中文版Barthel指數(shù)對多中心測評缺血性卒中患者預(yù)后的研究[J];中國腦血管病雜志;2007年11期

，

本文編號：1901253