摘要
目的 探究体外膈神经电刺激对脑卒中后肢体功能障碍患者呼吸肌肌力、肺通气功能和躯干稳定性的影响。方法 选取80例脑卒中后肢体功能障碍患者,随机将其分为对照组和观察组,每组40例。对照组行常规康复干预,观察组在对照组基础上加用体外膈神经电刺激,两组均干预6周。比较两组患者膈肌功能、呼吸肌肌力、肺通气功能、躯干稳定性。结果 干预6周后,观察组平静呼吸时膈肌位移、最大吸气时膈肌位移、最大吸气压、最大呼气压、用力肺活量、1秒用力呼气量、呼气峰流速,以及Sheikh躯干控制测试评分、Berg平衡量表评分均大于或高于对照组(均P<0.05)。结论 体外膈神经电刺激联合常规康复干预应用于脑卒中后肢体功能障碍患者,可有效地提升患者膈肌功能、呼吸肌肌力、肺通气功能,改善躯干稳定性。
Objective To investigate the effects of external phrenic nerve electrical stimulation on respiratory muscle strength,pulmonary ventilation function,and trunk stability in patients with limb dysfunction after a stroke.Methods A total of 80 patients with limb dysfunction after a stroke were selected and randomly divided into a control group or an observation group,with 40 cases in each group.The control group received a routine rehabilitation intervention,based on which the observation group received external phrenic nerve electrical stimulation additionally.Both groups received the intervention for 6 weeks.The diaphragm function,respiratory muscle strength,pulmonary ventilation function,and trunk stability of the two groups were compared.Results After 6 weeks of intervention,the diaphragm displacement during eupnea,the diaphragm displacement during maximum inspiration,the maximal inspiratory pressure,the maximal expiratory pressure,the forced vital capacity,the forced expiratory volume in one second,the peak expiratory flow,the Sheikh trunk control test score,and the Berg Balance Scale score in the observation group were greater or higher than those in the control group(all P<0.05).Conclusion External phrenic nerve electrical stimulation combined with a routine rehabilitation intervention can effectively improve the diaphragm function,respiratory muscle strength,pulmonary ventilation function,and trunk stability in patients with limb dysfunction after a stroke.
作者
邵素霞
王传飞
刘玲玲
SHAO Suxia;WANG Chuanfei;LIU Lingling(Department of Neurology,Zhengzhou Second Hospital,Zhengzhou 450000,Henan Province,China)
出处
《内科》
2023年第1期45-48,共4页
Internal Medicine
关键词
体外膈神经电刺激
脑卒中
肢体功能障碍
呼吸肌肌力
膈肌功能
肺通气功能
躯干稳定性
External phrenic nerve electrical stimulation
Stroke
Limb dysfunction
Respiratory muscle strength
Diaphragm function
Pulmonary ventilation function
Trunk stability
