摘要
目的：观察呼吸训练对颈段脊髓损伤患者咳嗽咳痰无力的疗效。方法：选取20名颈段脊髓损伤患者，全部为男性，年龄在25-60周岁，ASIA：C级，截瘫时间为2年或2年以上且病情稳定，无肺部损伤，主诉有日常咳嗽咳痰无力症状。将该20名患者随机分为观察组和对照组2组，对照组进行常规康复治疗；观察组在常规治疗的基础上给予呼吸训练，2组患者在完成2个月治疗后对肺功能指标进行检测比较。结果：2组患者在实验治疗前肺功能测定比较P〉0．05，无显著差异，经过2个月的呼吸训练后，2组患者的肺功能指标有显著性差异P〈0．05，观察组的肺功能结果明显优于对照组。结论：通过呼吸训练，可有效地维持和增大胸廓的活动度，增强呼吸肌的弹性，提高呼吸肌及辅助肌群的力量，使患者咳嗽咳痰更为颇畅，减少了因咳嗽费力和气道分泌物排出困难而导致肺部感染的危险。
Objective：To observe the effect of respiratory training on cough and expectoration weakness in patients with Cervical Spinal Cord injury.Methods：Selected 20 patients with cervical spinal cord injury,all male,between 25 and 60 years old,ASIA ：C grade,2 years or more than 2 years in paraplegia and in a stable condition,no lung injury,complained of daily cough and expectoration weakness.The 20 patients were randomly assigned to 2 groups experimental group and control group,the control group was only treated with routine rehabilitation;the experimental group added respiratory training in addition.The pulmonary function of the 2 groups patients were analyzed and compared after 2 months treatment.Resltlts：The pulmonary function in the patients of two groups before test treatment p 〉 0.05,no significant difference.After 2 months of respiratory training,the indexes of pulmonary function in the patients of the two groups had signif-icant difference p 〈 0.05.The results of pulmonary function test showed that patients in the experimental group were significantly better than that of the control group.Conclusion：The respiratory training could effectively maintain and increase thoracic mobility,enhance the softness of the respiratory muscles,improve the strength of expiratory muscle,so that patients could cough and expectoration more smooth-ly,reduce the difficulty of cough and airway discharge,which may lead to lung infection.
作者
方立朝
韩锴
郭建鹏
孙雷
FANG Li - chao;HAN Kai;Guo Jian - peng(The Staff Hospital,Tianjin, 30005)
出处
《中国伤残医学》
2018年第6期6-7,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
呼吸训练
脊髓损伤
咳嗽咳痰无力
Respiratory training
Spinal cord injury
Cough
Expectoration
Weakness
