摘要
目的应用床旁超声评估缺血性脑卒中膈肌功能障碍患者吸气肌训练前后膈肌功能的变化,探讨其临床应用价值。方法选取我院收治的缺血性脑卒中膈肌功能障碍患者110例,随机分为试验组和对照组,每组各55例。对照组给予常规治疗,试验组在常规治疗基础上给予吸气肌训练,应用床旁超声测量两组膈肌移动度、吸气时间及膈肌移动速度,肺功能检测获取用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、每分钟最大通气量(MVV)、最大吸气压(MIP),比较两组治疗前后上述参数,以及住院天数、肺炎发生率、死亡率的差异。分析膈肌移动度、吸气时间、膈肌移动速度与肺功能检测参数的相关性。结果试验组治疗后膈肌移动度、膈肌移动速度均较对照组增加,吸气时间较对照组缩短,差异均有统计学意义(均P<0.05)。试验组和对照组治疗后膈肌移动度、膈肌移动速度均较治疗前增加,吸气时间较治疗前缩短,差异均有统计学意义(均P<0.05)。试验组治疗后FVC、FEV1、MVV、MIP均较治疗前增加,差异均有统计学意义(均P<0.05)。试验组治疗后FVC、FEV1、MVV、MIP与对照组治疗后比较差异均有统计学意义(均P<0.05)。两组住院天数、肺炎发生率、死亡率比较差异均有统计学意义(均P<0.05)。相关性分析显示,膈肌移动度、吸气时间、膈肌移动速度与肺功能检测参数均相关(均P<0.05)。结论应用床旁超声可有效评估缺血性脑卒中膈肌功能障碍患者吸气肌训练前后膈肌功能的变化,吸气肌训练能提高吸气肌的力量,改善肺功能,具有较好的临床应用价值。
Objective To evaluate the changes of diaphragmatic function in ischemic stroke patients with diaphragm dysfunction before and after inspiratory muscle training by bedside ultrasound,and to explore its clinical application value.Methods A total of 110 ischemic stroke patients with diaphragm dysfunction in our hospital were selected and randomly divided into experimental group and control group,with 55 patients in each group.The control group was given conventional treatment,while the experimental group was given inspiratory muscle training on the basis of conventional treatment.Diaphragm mobility,inspiratory time and velocity of diaphragm movement in the two groups were measured by bedside ultrasound,and the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),maximum ventilation volume per minute(MVV)and maximum inspiratory pressure(MIP)were obtained by pulmonary function test.The differences of the above parameters before and after treatment,as well as the hospitalization days and incidence of pneumonia and mortality after treatment were compared between the two groups.The correlations of diaphragm mobility,inspiratory time and velocity of diaphragm movement with the pulmonary function parameters were analyzed.Results After treatment,the diaphragm mobility and velocity of diaphragm movement in the experimental group were increased compared with the control group,and the inspiratory time was shortened compared with the control group,the differences were statistically significant(all P<0.05).After treatment,the diaphragm mobility and velocity of diaphragm movement in the experimental group and the control group were increased,and the inspiratory time was shortened,the differences were statistically significant(all P<0.05).After treatment,FVC,FEV1,MVV and MIP in the experimental group were increased compared with those before treatment,and the differences were statistically significant(all P<0.05).There were significant differences in FVC,FEV1,MVV and MIP between the experimental group and
作者
安立娟
李百艳
明丹
王璞
AN Lijuan;LI Baiyan;MING Dan;WANG Pu(Department of Emergency,Hengshui People’s Hospital Affiliated to Hebei Medical University,Hebei 053000,China)
出处
《临床超声医学杂志》
CSCD
2023年第9期708-712,共5页
Journal of Clinical Ultrasound in Medicine
基金
衡水市科技计划项目(2017014013C-09)。
关键词
超声检查
脑卒中
膈肌功能障碍
吸气肌训练
Ultrasonography
Stroke
Diaphragmatic dysfunction
Inspiratory muscle training
