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目的观察镜像阈值负荷训练对脑出血后呼吸肌疲劳患者呼吸功能的影响。方法采用随机数字表法将符合入选和排除标准脑出血呼吸肌疲劳患者50例分为观察组和对照组
每组患者25例。2组患者均接受常规康复训练
对照组在此基础上增加呼吸肌阈值负荷训练
观察组患者则增加呼吸肌镜像阈值负荷训练。呼吸肌镜像阈值负荷训练每日上、下午各训练1次
每周训练5 d
连续训练4周。于治疗前和治疗1、2、3、4周后检测2组患者的呼吸肌力[最大吸气压(MIP)和最大呼气压(MEP)];并于治疗前和治疗4周后
评定2组患者的肺功能[第一秒用力呼气量(FEV1)和25%用力呼气量(FEF25)]、最长声时(MPT)和呼吸频率(RR)。结果治疗1、2、3、4周后
2组患者的MIP值和MEP值均显著优于组内治疗前
差异均有统计学意义(P<0.05);治疗4周后
观察组患者的MIP值和MEP值分别为(43.83±5.47)cmH2O和(56.96±7.52)cmH2O
均显著优于对照组
差异有统计学意义(P<0.05)。治疗4周后
2组患者的FEV1、FEF25、MPT和RR值较组内治疗前均显著改善(P<0.05)
且观察组患者FEV1、FEF25和RR值均显著优于对照组(P<0.05)。结论呼吸肌镜像阈值负荷训练
可显著改善脑出血后呼吸肌疲劳患者的呼吸功能
且疗效优于呼吸肌阈值负荷训练。
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