Effects of personalized respiratory training on pulmonary function in patients with tracheotomy after stroke
10.3969/j.issn.1001-1242.2024.06.011
- VernacularTitle:个性化呼吸训练对脑卒中后气管切开患者肺功能的影响
- Author:
Xiang LI
1
;
Hongrui ZHANG
;
Shuai YANG
Author Information
1. 济宁医学院附属医院康复医学科,山东省济宁市,272000
- Keywords:
breathing training;
tracheotomy;
pulmonary function;
extubation
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(6):835-839
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of personalized respiratory breathing training on pulmonary function in pa-tients with tracheotomy after stroke. Method:Fifty-two post-stroke tracheotomy patients who met the inclusion criteria were divided into a control group(n=26)and an intervention group(n=26).During the observation period,one patient in the control group and one in the intervention group each was lost to follow-up.The control group was given the postural drainage combined with vibration expectoration on the basis of routine rehabilitation,while the intervention group was given individualized breathing training on the basis of the control group.The observation period was 6 weeks,and the pulmonary function,diaphragmatic muscle mobility,diaphragmatic muscle thickening rate,extubation time and extubation success rate were compared between the two groups. Result:Before training,there were no significant differences in pulmonary function indexes(FVC,FEV1 and PEF),diaphragmatic activity(DEq,DEd),and diaphragm thickening rate(DTF)between the two groups(P＞0.05).After 6 weeks of training,the FVC,FEV1,PEF,DEq,DEd and DTF of the two groups were signifi-cantly improved compared with those before training(P＜0.05);and the intervention group was more signifi-cantly improved than the control group(P＜0.05);The extubation time in the intervention group was signifi-cantly shorter than that in the control group(P＜0.05);and the success rate of extubation in the intervention group was 92％,which was significantly higher than that in the control group(68.0％),and the difference was statistically significant(P＜0.05). Conclusion:Personalized respiratory training can more effectively improve the pulmonary function of tracheoto-my patients after stroke,shorten the removal time of tracheal cannula,and improve the success rate of extubation.
