摘要
用随机化自身和组间对照方法，观察４３例慢性阻塞性肺病（ＣＯＰＤ）患者深慢腹式阻力呼吸（２１例）和深慢腹式呼吸（２２例）对呼吸肌功能（ＭＩＰ、ＭＥＰ、Ｌｏａｄｍａｘ、Ｐｍｅａｎ、ＳＩＰｍ／ＭＩＰ）、肺功能（ＦＶＣ、ＦＥＶ１、ＦＥＶ１％、ＰＥＦＲ）和血气分析（ｐＨ、ＰａＯ２、Ｐａ－ＣＯ２、ＳａＯ２）的影响。结果表明，两种方法均显著改善了呼吸肌功能、肺功能和血气成分，但深慢腹式阻力呼吸在改善呼吸肌功能方面明显优于深慢腹式呼吸。提示深慢腹式阻力呼吸可作为ＣＯＰＤ患者缓解期呼吸康复锻炼的有效手段。
In order to quantitatively study the effect of deepslow abdominal resistive breathing on COPD,43 patients with stable COPD were randomly divided into two groups.21 patients received four 15minute sessions of deepslow abdominal resistive breathing daily for three months(group I);22 patients received four 15minute sessions of deepslow abdominal respiratory training daily for three months(groupⅡ).The measures of respiratory muscle strength(MIP,MEP)and respiratory muscle endurance(Loadmax,Pmean,SIPm/MIP)were examined before and after training by the end of one month,two and three months.The lung functional parameters(FVC,FEV1,FEV1%,PEFR)and the artery blood gas parameters(pH,PaO2,PaCO2,SaO2)were examined before and after training.The outcome indicated that MIP,MEP,Loadmax,Pmean,SIPm/MIP of the two groups were both significantly improved after three months,and these parameters were increased significantly more in group I than those in groupⅡ.FVC,FEV1,FEV1%,PEFR,PaO2,SaO2 were increased significantly compared with that before training,but these parameters were not significantly different between the two groups.The findings indicated that the deepslow abdominal resistive breathing is an effective method in patients with COPD.
出处
《山东医科大学学报》
1997年第4期317-320,共4页
Acta Academiae Medicinae Shandong
关键词
肺疾病
阻塞性肺疾病
慢腹式呼吸
Lung diseases,obstructive
Risistive breathing
Deepslow abdominal respiratory
