Effect of hyperbaric oxygen combined with respiratory muscle training on respiratory function and quality of life in stroke patients
10.3760/cma.j.cn311847-20191121-00333
- VernacularTitle:高压氧联合呼吸肌训练对脑卒中患者呼吸功能及生活质量的影响
- Author:
Yubin LIU
1
;
Wei WEI
;
Fengde JING
Author Information
1. 264001 山东省烟台，烟台市烟台山医院康复医学科
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Respiratory muscle training;
Stroke;
Respiratory function;
Quality of life
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2020;27(4):435-438,471
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of hyperbaric oxygen combined with respiratory muscle training on respiratory function and quality of life in stroke patients.Methods:A total of 100 stroke patients admitted to the Department of Neurology of Yantai Mountain Hospital from May 2016 to January 2019 were selected as the research objects. According to the method of random number table, the patients were divided into the combined group (50 cases) and the control group (50 cases). The combined group was given hyperbaric oxygen combined with respiratory muscle training, and the control group was only given respiratory muscle training. The clinical efficacy, respiratory function, arterial blood gas analysis index, quality of life, and adverse reactions were compared between the two groups.Results:The total clinical effective rate of the combined group after hyperbaric oxygen combined with respiratory muscle training was 82.00%, which was significantly higher than that (60.00%) of the control group ( P<0.05). After treatment, the forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and maximum ventilation volume (MVV) of the two groups were significantly higher than those before treatment ( P<0.01); furthermore, those of the combined group were significantly higher than those of the control group, and the differences were statistically significant ( P<0.01). After treatment, arterial oxygen partial pressure(PaO 2), arterial oxygen saturation(SaO 2), and oxygenation index(OI) of the two groups were all significantly higher than those before treatment( P<0.05), and those of the combined group were significantly higher than those of the control group ( P<0.01); the lactic acid(Lac) levels in both groups were significantly lower than those before treatment, and the Lac level in the combined group was significantly lower than that in the control group ( P<0.01). After treatment, The quality of life index (QL-Index) scores of the two groups were significantly higher than those before treatment ( P<0.05), and those of the combined group were significantly higher than those of the control group, and the differences were statistically significant ( P < 0.01). There was no statistically significant difference in the incidence of adverse reactions between the two groups ( P > 0.05). Conclusion:Hyperbaric oxygen combined with respiratory muscle training in the treatment of stroke patients can promote early rehabilitation of the patients, improve respiratory function, and significantly improve their quality of daily life, and thus this therapy is worthy of popularization and application in clinic.
