摘要
目的探讨体表膈神经电刺激对恢复期脑卒中患者呼吸功能的影响。方法 2017年10月至2018年7月,恢复期脑卒中患者27例随机分为对照组(n=14)和观察组(n=13)。两组均予常规康复,观察组在此基础上增加体表膈神经电刺激。分别于治疗前和治疗4周后,对患者进行肺通气功能和呼吸肌肌力测定。结果治疗后,两组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、峰值呼气流速(PEF)、最大吸气压(MIP)、最大呼气压(MEP)均显著提高(t> 5.075,Z=-3.366,P <0.001),观察组FVC、FEV1、PEF和MIP较对照组提高更多(t> 0.921,Z=-2.746, P <0.05)。结论体表膈神经电刺激可改善恢复期脑卒中患者肺通气功能及吸气肌肌力。
Objective To observe the effect of external phrenic nerve electrical stimulation on respiratory function for convalescent stroke patients.Methods From October,2017 to July,2018,27 convalescent stroke patients were randomly divided into control group(n=14)and observation group(n=13).Both groups received routine rehabilitation,while the observation group accepted external phrenic nerve electrical stimulation additionaly.Their ventilation and respiratory muscle strength were measured before and four weeks after treatment.Results The forced vital capacity(FVC),forced expiratory volume in 1st second(FEV1),peak expiratory flow(PEF),maximal inspiratory pressure(MIP)and maximal expiratory pressure(MEP)improved in both groups after treatment(t>5.075,Z=-3.366,P<0.001),and improved more in FVC,FEV1,PEF and MIP in the observation group than in the control group(t>0.921,Z=-2.746,P<0.05).Conclusion External phrenic nerve electrical stimulation can improve ventilation and inspiratory muscle strength for convalescent stroke patients.
作者
邹盛国
吴建贤
张金牛
ZOU Sheng-guo;WU Jian-xian;ZHANG Jin-niu(Rehabilitation Medicine Department,the Second Hospital of Anhui Medical University,Hefei,Anhui 230601,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2019年第5期513-517,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
安徽高校省级自然科学研究项目(No.KJ2016A346)~~
关键词
脑卒中
膈神经电刺激
呼吸肌
肺功能
stroke
phrenic nerve electrical stimulation
respiratory muscle
pulmonary function
