本文選題：吸氣肌訓練　切入點：脊髓損傷　出處：《黑龍江中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:通過對比吸氣肌訓練結合呼吸訓練法與單純呼吸訓練法兩種方式治療頸髓損傷后呼吸功能障礙,評價兩種方法在治療效果上的差異,進一步研究漸進抗阻吸氣肌訓練在改善頸髓損傷患者呼吸功能方面的作用,為頸髓損傷患者的康復治療提供新的思路,優(yōu)化呼吸功能訓練方案。方法:將符合納入標準的46例頸髓損傷患者隨機分為吸氣肌訓練結合呼吸訓練組(試驗組)和呼吸訓練組(對照組)。對所有納入患者給予脊髓損傷常規(guī)針刺,康復訓練及對癥支持治療。對照組23例每日進行呼吸訓練2次,每次12分鐘。試驗組23例每日進行吸氣肌訓練2組,每組30次呼吸;呼吸訓練2次,每次12分鐘。療程:每周治療6天,六周為一個療程。治療前及治療一個療程后分別記錄MIP、PIF、VC、FEV1.0%以及改良Borg Scale呼吸困難指數,使用SPSS20.0統(tǒng)計軟件進行統(tǒng)計分析。結果:1.試驗組和對照組經治療后MIP評分與療前相比均有明顯提高,差異具有統(tǒng)計學意義(P0.01),說明兩種訓練方法均可以提高吸氣肌功能,兩組患者組間比較,差異具有統(tǒng)計學意義(P0.01),試驗組優(yōu)于對照組。2.試驗組和對照組經治療后PIF評分與療前相比均有明顯提高,差異具有統(tǒng)計學意義(P0.01),說明兩種訓練方法均可以提高吸氣肌快速收縮、克服阻力的能力,兩組患者組間比較,差異具有統(tǒng)計學意義(P0.01),試驗組優(yōu)于對照組。3.試驗組和對照組經治療后VC與療前相比均有明顯提高,差異具有統(tǒng)計學意義(P0.01),說明兩種訓練方法均可以提高肺功能,兩組患者組間比較,差異具有統(tǒng)計學意義(P0.01),試驗組優(yōu)于對照組。4.試驗組和對照組經治療后FEV1.0%與療前相比均有明顯提高,差異具有統(tǒng)計學意義(P0.01),說明兩種訓練方法均可以提高肺功能,兩組患者組間比較,差異具有統(tǒng)計學意義(P0.01),試驗組優(yōu)于對照組。5.試驗組和對照組經治療后Borg Scale呼吸困難指數與療前相比均有明顯下降,差異具有統(tǒng)計學意義(P0.01),說明兩種訓練方法均可以改善呼吸困難程度,兩組患者組間比較,差異具有統(tǒng)計學意義(P0.01),試驗組優(yōu)于對照組。結論:1.傳統(tǒng)呼吸訓練和漸進抗阻吸氣肌訓練結合傳統(tǒng)呼吸訓練均能改善頸髓損傷患者的吸氣肌功能、肺功能及呼吸困難程度。2.漸進抗阻吸氣肌訓練結合傳統(tǒng)呼吸訓練對于改善頸髓損傷患者呼吸功能作用更加顯著,優(yōu)于單純傳統(tǒng)呼吸訓練。
[Abstract]:Objective: to compare inspiratory muscle training with breathing training and respiratory training to treat respiratory dysfunction after cervical spinal cord injury, and to evaluate the difference between the two methods in the treatment of respiratory dysfunction after cervical spinal cord injury.To further study the role of progressive anti-inspiratory muscle training in improving the respiratory function of patients with cervical spinal cord injury, to provide a new idea for rehabilitation treatment of patients with cervical spinal cord injury, and to optimize the training program of respiratory function.Methods: 46 patients with cervical spinal cord injury were randomly divided into inspiratory muscle training combined with respiratory training group (experimental group) and respiratory training group (control group).All patients were given routine acupuncture, rehabilitation training and symptomatic support for spinal cord injury.The control group (23 cases) received breathing training twice a day for 12 minutes.The experimental group (23 cases) received inspiratory muscle training (group 2) for 30 breaths and two breathing exercises for 12 minutes each day.Course of treatment: 6 days a week, 6 weeks as a course of treatment.Before treatment and after one course of treatment, 1.0% of the patients were recorded and the modified Borg Scale dyspnea index was recorded respectively. SPSS20.0 statistical software was used to analyze the dyspnea index.The result is 1: 1.The MIP scores of the experimental group and the control group after treatment were significantly higher than those before the treatment, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the inspiratory muscle function, and the two groups were compared.The difference was statistically significant (P 0.01), and the test group was superior to the control group (P 0.01).The PIF scores of the experimental group and the control group after treatment were significantly higher than those before treatment, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the ability of rapid contraction of inspiratory muscle and overcome resistance.The difference was statistically significant (P 0.01), and the experimental group was better than the control group.After treatment, the VC of the experimental group and the control group were significantly higher than that of the control group, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the lung function, and the two groups were compared with each other.The difference was statistically significant (P 0.01), and the test group was superior to the control group (P 0.01).The FEV 1.0% in the experimental group and the control group were significantly higher than that before the treatment, and the difference was statistically significant (P 0.01), which indicated that both the two training methods could improve the lung function, and the comparison between the two groups was made.The difference was statistically significant (P 0.01), and the test group was superior to the control group (P 0.05).After treatment, the Borg Scale dyspnea index in the experimental group and the control group was significantly lower than that before treatment, and the difference was statistically significant (P 0.01), which indicated that the two training methods could improve the degree of dyspnea.The difference was statistically significant (P 0.01), and the experimental group was superior to the control group.Conclusion 1.Traditional breathing training and progressive anti-inspiratory muscle training combined with traditional breathing training can improve inspiratory muscle function, lung function and respiratory difficulty of patients with cervical spinal cord injury.Progressive anti-inspiratory muscle training combined with traditional breathing training was more effective than traditional respiratory training in improving respiratory function of patients with cervical spinal cord injury.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R651.2;R493

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