A study on the application of recumbent rehabilitation exercises combined with oscillatory positive expiratory pressure training in pulmonary rehabilitation of patients with moderate to severe inhalation injuries
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目的 探讨卧位康复操联合震荡呼气正压训练在中重度吸入性损伤患者肺康复中的应用效果.方法 采用便利抽样法选取2021年1月-2023年3月苏北人民医院烧伤整形外科收治的57名中重度吸入性损伤患者为研究对象,随机分为A组、B组及C组.A组予以常规治疗,B组在A组基础上实施卧位康复操,C组在B组基础上联合应用震荡呼气正压训练.比较三组干预前、干预后第1秒用力呼气容积(forced expiratory volume in the first second,FEV1)、用力肺活量(forced vital capacity,FVC)、痰液性状、咳痰难度、痰液黏稠度、日均排痰量、Borg气促评分、1分钟坐立试验情况.结果 干预后三组FEV1、FVC、痰液黏稠度、日均排痰量、Borg气促评分、1分钟坐立试验改善值比较,差异有统计学意义(均P＜0.05).B组Borg气促评分、1分钟坐立试验改善值显著优于A组,差异有统计学意义(均P＜0.05).C组FEV1、FVC、痰液性状、咳痰难度、痰液黏稠度、日均排痰总量、Borg气促评分、1分钟坐立试验改善值显著优于A组,差异有统计学意义(均P＜0.05).C组FEV1、日均排痰量、Borg气促评分的改善值显著优于B组,差异有统计学意义(均P＜0.05).结论 卧位康复操联合震荡呼气正压训练为中重度吸入性损伤患者提供肺康复,能有效提高患者运动能力及呼吸功能,改善患者生活质量.
Objective To explore the application effect of recumbent rehabilitation exercise combined with oscillatory positive expiratory pressure training in pulmonary rehabilitation of patients with moderate to severe inhalation injury.Methods Fifty-seven patients with moderate-to-severe inhalation injuries admitted to the Department of Burns and Plastic Surgery of the People's Hospital of North Jiangsu Province from January 2021 to March 2023 were selected by convenience sampling.The patients were randomly divided into Group A,Group B,and Group C.Group A received conventional treatment,Group B received the recumbent rehabilitation exercise on the basis of Group A,and Group C received the concussive expiratory pressure training on the basis of Group B.The three groups were compared before and after the intervention with respect to forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),sputum properties,sputum difficulty,sputum viscosity,average daily sputum output,Borg shortness of breath score,and 1-minute sitting and standing test.Results The improvement values of FEV1,FVC,sputum viscosity,average daily sputum discharge,Borg shortness of breath score,and 1-minute sit-to-stand test were compared among the three groups after intervention,and the differences were statistically significant(all P＜0.05).The improvement values of Borg shortness of breath score,and 1-minute sit-to-stand test in group B were significantly better than those in group A(all P＜0.05).The improvement values of FEV1,FVC,and sputum properties in group C were significantly better than those in group A(all P＜0.05),Coughing difficulty,sputum viscosity,total average daily sputum expectoration,Borg shortness of breath score,and 1-minute sit-to-stand test improvement values were significantly better than those of group A(all P＜0.05).Improvement values of FEV1,average daily sputum expectoration,and Borg shortness of breath score in group C were significantly better than those of group B(all P＜0.05).Conclusion For pulmonary rehabilitation of patients with moderate-to-severe inhalation injuries,prone rehabilitation exercises combined with oscillatory positive expiratory pressure training can effectively improved the patients'exercise capacity and respiratory function,and improve their quality of life.
Inhalation injuryrecumbent rehabilitation exercisesoscillatory expiratory positive pressure traininglung function
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