首页|振动排痰联合高强度吸气肌抗阻训练对支气管扩张患者排痰情况及肺功能的影响

振动排痰联合高强度吸气肌抗阻训练对支气管扩张患者排痰情况及肺功能的影响

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目的 探讨振动排痰联合高强度吸气肌抗阻训练对支气管扩张患者排痰情况及肺功能的影响.方法 选择济宁市第三人民医院 2022 年 4月—2023年 5 月收治的 92 例支气管扩张患者为研究对象,按随机数字表法将其分为对照组和观察组,各 46 例.对照组采用常规干预,观察组采用振动排痰联合高强度呼吸肌抗阻训练,两组均干预 1周.比较两组的排痰情况、肺功能、呼吸肌力量及耐力.结果 干预前,两组排痰情况、肺功能、呼吸肌力量及耐力对比,组间差异无统计学意义(P>0.05);干预后,观察组 24h排痰量多于对照组,痰液黏稠度低于对照组,第 1 秒用力呼气容积、用力肺活量均大于对照组,呼气峰流速快于对照组,最大吸气压、最大呼气压均高于对照组,持续吸气压持续时间长于对照组,组间差异有统计学意义(P<0.05).结论 振动排痰联合高强度呼吸肌抗阻训练能够改善支气管扩张患者的排痰情况及肺功能,增强呼吸肌力量及耐力.
Effect of Vibration Induced Sputum Excretion Combined with High-Intensity Inspiratory Muscle Resis-tance Training on Sputum Excretion Situation and Lung Function in Patients with Bronchiectasis
Objective To explore the effect of vibration induced sputum excretion combined with high-intensity inspiratory muscle resistance training on sputum excretion situation and lung function in patients with bronchiectasis.Methods A total of 92 patients with bronchiectasis admitted to the Third People's Hospital of Jining City from April 2022 to May 2023 were selected as the research subjects,divide them into a control group and an observation group using a random number table method,with 46 cases in each group.The control group received routine intervention,while the observation group received vibration induced sputum excretion combined with high-intensity inspiratory muscle resistance training,both groups received one week of intervention.Compare the sputum excretion,lung function,respiratory muscle strength,and endurance between two groups.Results Before intervention,comparison of sputum excretion,lung function,respiratory muscle strength,and endurance between two groups,there was no statistically significant differences between groups(P>0.05);after intervention,the 24-hour sputum output of the observation group was higher than that of the control group,and the viscosity of the sputum was lower than that of the control group,the forced expiratory volume and forced vital capacity in the first second were greater than those of the control group,and the peak expiratory flow rate was faster than that of the control group,the maximal inspiratory pressure and maximum expiratory pressure were both higher than those of the control group,and the duration of continuous suction pressure was longer than that of the control group,the differences between groups were statistically significant(P<0.05).Conclusion Vibration induced sputum excretion combined with high-intensity inspiratory muscle resistance training can improve sputum excretion and lung function in patients with bronchiectasis,enhance respiratory muscle strength and endurance.

BronchiectasisVibration induced sputum excretionHigh-intensity inspiratory muscle resistance trainingSputum excretion situationLung functionRespiratory muscle strength and endurance

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济宁市第三人民医院(兖州区人民医院)呼吸与危重症医学科,山东 济宁 272100

支气管扩张 振动排痰 高强度吸气肌抗阻训练 排痰情况 肺功能 呼吸肌力量及耐力

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(14)