Objective:To explore the improvement of pulmonary function in children with cerebral palsy by extracorporeal diaphragm pacemaker combined with respiratory training.Methods:Seventy-six chil-dren with spastic cerebral palsy treated in The First Affiliated Hospital of Henan University of Chi-nese Medicine were randomly grouped into respiratory training group(n=39)and routine training group(n=37).The children in the routine training group received routine rehabilitation treatment,and the respiratory training group received extra extracorporeal diaphragm pacemaker treatment on this basis.The percentage of vital capacity to the expected value(VC%),percentage of forced vital capacity to the expected value(FVC%),percentage of forced expiratory volume in the first second to the expected value(FEV1%),one-second rate(FEV1/FVC)and percentage of maximum ventilation volume to the expected value(MVV%)of the two groups of subjects were measured before and after treatment,and the maximal phonation time(MPT),average muscle strength index,maximum muscle strength index,average peak inspiratory flow rate,and maximum peak inspiratory flow rate were re-corded.Results:No significant difference was found in VC%,FVC%,FEV1%,and MVV%be-tween the two groups before treatment(P>0.05),while the above pulmonary function indexes in the respiratory training group were significantly higher than those in the routine training group after treat-ment(P<0.05).There was no significant difference in the indexes of MPT,average muscle strength index,maximum muscle strength index,average peak inspiratory flow rate and maximum peak inspi-ratory flow rate between the two groups before treatment(P>0.05),but after treatment,the above indexes in the respiratory training group were significantly higher than those in the routine rehabilita-tion group(P<0.05).Conclusion:Extracorporeal diaphragm pacemaker combined with respiratory training can effectively improve the pulmonary ventilation function and enhance the respiratory muscle strength of children with cerebral palsy,which is worthy of clinical promotion.
万方数据
维普
