改良五禽戏促进老年脑卒中病人呼吸功能的临床研究

doi:10.3969/j.issn.1003-9198.2023.05.004

实用老年医学 ›› 2023, Vol. 37 ›› Issue (5): 444-448.doi: 10.3969/j.issn.1003-9198.2023.05.004

改良五禽戏促进老年脑卒中病人呼吸功能的临床研究

包莹莹, 庄咏梅, 车培, 计樱莹, 陈兰, 肖悦, 鲁俊, 赵若欣, 许光旭

210029 江苏省南京市,南京医科大学康复医学院(包莹莹);
210036 江苏省南京市,江苏省卫生健康发展研究中心,国家卫生健康委计划生育药具不良反应监测中心(庄咏梅);
214151 江苏省无锡市,无锡市同仁康复医院康复医学科(车培,计樱莹,陈兰);
210029 江苏省南京市,南京医科大学第一附属医院康复医学中心(肖悦,鲁俊,赵若欣,许光旭)

收稿日期:2022-09-06 出版日期:2023-05-20 发布日期:2023-05-22
通讯作者: 许光旭,Email:xuguangxu1@126.com
基金资助:
江苏省卫生健康发展研究中心开放课题(JSHD2021003);无锡市太湖人才计划项目(WXTTP2020008)

Clinical study on the effects of modified Wuqinxi in improving respiratory function in elderly patients with stroke

BAO Ying-ying, ZHUANG Yong-mei, CHE Pei, JI Ying-ying, CHEN Lan,XIAO Yue, LU Jun, ZHAO Ruo-xin, XU Guang-xu

School of Rehabilitation Medicine, Nanjing Medical University, Nanjing 210029, China(BAO Ying-ying);
Jiangsu Health Development Research Center, National Health and Family Planning Commission Contraceptives Adverse Reaction Surveillance Center, Nanjing 210036, China(ZHUANG Yong-mei);
Department of Rehabilitation Medicine, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China(CHE Pei, JI Ying-ying, CHEN Lan);
Rehabilitation Medicine Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China(XIAO Yue, LU Jun, ZHAO Ruo-xin, XU Guang-xu)

Received:2022-09-06 Online:2023-05-20 Published:2023-05-22
Contact: XU Guang-xu,Email:xuguangxu1@126.com

摘要/Abstract

摘要： 目的探讨改良五禽戏对老年脑卒中病人呼吸功能的影响。方法将2021年6月至2022年6月住院进行康复治疗的40例老年脑卒中病人纳入本试验,随机分为试验组和对照组,每组各20例。对照组接受常规康复训练,试验组在此基础上接受改良五禽戏训练。干预前后采用FEV1、FVC、呼气峰值流速(PEF)评估病人肺通气功能;采用吸气峰值流速(PIF)和最大吸气压(MIP)评估病人吸气肌功能;采用用力呼吸膈肌活动度(DE)以及膈肌增厚分数(DTF)评估膈肌功能。结果干预前,2组病人FEV1、FVC、PEF、PIF、MIP、DE以及DTF比较差异均无统计学意义(P>0.05);干预后,试验组病人FEV1、FVC、PEF、PIF、MIP、DE以及DTF均较干预前显著提高,且除DTF外均显著高于对照组(P<0.05)。结论改良五禽戏训练可以改善老年脑卒中病人肺通气功能、吸气肌功能以及膈肌活动度,有利于促进病人呼吸康复。

关键词: 五禽戏, 老年人, 脑卒中, 呼吸功能, 膈肌功能

Abstract: Objective To investigate the effects of modified Wuqinxi on the respiratory function in the elderly patients with stroke. Methods A total of 40 in-hospital elderly patients with stroke from June 2021 to June 2022 were enrolled in this study. They were divided into the experimental group and the control group randomly.The patients in the control group(n=20) received routine rehabilitation training,and the patients in the experimental group(n=20) received modified Wuqinxi training based on routine rehabilitation training. Before and after the intervention, forced expiratory volume in the first second(FEV1), forced vital capacity(FVC)and peak expiratory flow(PEF) were used to assess the pulmonary ventilation performance.The peak inspiratory flow(PIF) and maximum inspiratory pressure(MIP) were used to assess the inspiratory muscle function.Diaphragmatic excursion(DE) and diaphragmatic thickening fraction(DTF) detected by diaphragmatic ultrasound were used to evaluate the diaphragmatic function. Results No statistical difference was found between the two groups in the levels of FEV1, FVC, PEF, PIF, MIP, DE and DTF before the intervention(P>0.05). After the intervention, the levels of FEV1, FVC, PEF, PIF, MIP, DE and DTF in the experimental group were significantly higher than those before the intervention(P<0.05), which were also significantly higher than those in the control group except DTF(P<0.05). Conclusions The modified Wuqinxi training promotes the respiratory function in the elderly patients with stroke by improving the pulmonary ventilation function, inspiratory muscle function and diaphragm mobility.

Key words: Wuqinxi, aged, stroke, respiratory function, diaphragmatic function

中图分类号:

包莹莹, 庄咏梅, 车培, 计樱莹, 陈兰, 肖悦, 鲁俊, 赵若欣, 许光旭. 改良五禽戏促进老年脑卒中病人呼吸功能的临床研究[J]. 实用老年医学, 2023, 37(5): 444-448.

BAO Ying-ying, ZHUANG Yong-mei, CHE Pei, JI Ying-ying, CHEN Lan,XIAO Yue, LU Jun, ZHAO Ruo-xin, XU Guang-xu. Clinical study on the effects of modified Wuqinxi in improving respiratory function in elderly patients with stroke[J]. Practical Geriatrics, 2023, 37(5): 444-448.

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改良五禽戏促进老年脑卒中病人呼吸功能的临床研究

Clinical study on the effects of modified Wuqinxi in improving respiratory function in elderly patients with stroke

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