摘要
目的:探讨渐进式呼吸功能训练对吉兰-巴雷综合征患者肺功能的改善作用。方法:吉兰-巴雷综合征患者34例,随机分为常规组及康复组,各17例,常规组仅给予常规药物及针灸治疗,康复组在此基础上给予渐进式呼吸功能训练4个月。于治疗前及治疗2、4个月后,采用肺功能检测仪检测肺功能、6 min步行试验评定运动能力、改良Barthel指数(MBI)评定日常生活活动能力(ADL)。结果:治疗4个月后,康复组肺功能评分显著高于治疗前及常规组(P<0.01),常规组肺功能较治疗前降低(P<0.05)。治疗2个月后,康复组6 min步行距离和MBI评分较训练前提高(P<0.05),且高于同时间常规组(P<0.05);治疗4个月后,常规组6 min步行距离和MBI评分较治疗前提高(P<0.05),康复组较训练前显著提高(P<0.01),且高于同时间常规组(P<0.05)。结论:渐进式呼吸功能训练能改善恢复期吉兰-巴雷综合征患者的肺功能,改善患者运动能力,提高日常生活活动能力。
Objective： To explore the effects of gradual respiratory functional training on the pulmonary function in patients with Guillain-Barré syndrome（GBS）.Methods： Thirty-four patients with GBS were randomly divided into control group（n=17） and rehabilitation group（n=17）.Patients in the control group were given routine drugs and acupuncture treatment,and cases in the rehabilitation group were given the gradual respiratory functional training in addition to the routine treatment.The pulmonary function detector was used to assess the lung function,6 min walking test was employed to evaluate the motor ability and modified Barthel index（MBI） to evaluate the activities of daily living（ADL） at beginning and 2,and 4 months after rehabilitation.Results： Four months after rehabilitation,the lung function of patients in the rehabilitation group was significantly improved,relative to that before the rehabilitation and in the control group（P〈0.01）.However,the lung function of patients in the control group was deteriorated when compared to that before treatment（P〈0.05）.The scores of 6 min walking test and MBI of patients in the rehabilitation group were significantly higher than those before rehabilitation and in the control group at 2 and 4 months after rehabilitation.Conclusion： Gradual respiratory functional training is helpful in improving the lung function,motor ability,and ADL in patients with GBS.
出处
《神经损伤与功能重建》
2011年第4期260-264,共5页
Neural Injury and Functional Reconstruction
关键词
吉兰-巴雷综合征
呼吸训练
肺功能
日常生活活动能力
Guillain-Barré syndrome； respiratory functional training； lung function； activities of daily living
