The effect of pulmonary rehabilitation on diaphragmatic function and ability of activities of daily living in patients with stroke-related pneumonia
Objective To explore the effect of pulmonary rehabilitation on diaphragmatic function and activity of daily living in patients with stroke-associated pneumonia(SAP),and to provide a theoretical basis for further clinical promotion and application.Methods A total of 60 patients diagnosed with SAP who were hospitalized in the Department of Rehabilitation Medicine,Department of Critical Care Medicine,Emergency ICU,Department of Neurosurgery,and Department of Neurology of Qinghai University Affiliated Hospital from January 2021 to January 2022 were collected and divided into a treatment group(n=30)and a control group(n=30)based on the random number table method.The control group received routine rehabilitation treatment,while the treatment group received pulmonary rehabilitation based on the treatment for the control group.After 2 weeks of treatment,the diaphragmatic mobility,diaphragmatic thickness,clinical efficacy,and modified Barthel index(MBI)scores of both groups of patients were analyzed before and after treatment.Results After 2 weeks of treatment,the diaphragmatic mobility,diaphragmatic thickness,and MBI scores of patients in the treatment group were(2.81±0.21)cm,(0.18±0.05)cm,and(44.53±17.18)points,respectively,which were higher than those of patients in the control group(2.52±0.18)cm,(0.14±0.03)cm,and(36.40±13.80)points,with statistically significant differences(P<0.05).The total effective rate of clinical efficacy in the treatment group was 83.33％,higher than 46.67％in the control group,with statistically significant difference(P<0.05).Conclusion The combination of routine rehabilitation training and pulmonary rehabilitation is more beneficial for improving the diaphragmatic function and pneumonia response in patients with SAP,thereby improving their daily activity of life and accelerating disease recovery.
Stroke-associated pneumoniaPulmonary rehabilitationDiaphragmatic mobilityDiaphragmatic thicknessActivity of daily living
万方数据
维普
