肺康复训练对脑卒中气管切开术后患者的疗效

摘要

目的:分析呼吸功能训练对脑卒中气管切开患者拔出气管切开套管进程的影响及与常规治疗的差异性.方法:80例早期脑卒中后气管切开的患者,随机分为观察组和对照组各40例,观察组进行呼吸功能训练和常规治疗,对照组仅进行常规治疗.治疗前后分别通过对呼吸肌肌力评定、指脉氧饱和度、肺部感染率、留置气管切开套管时间、呼气量和吸气量等方面对比2组康复疗效.结果:观察组留置气管切开套管时间明显低于对照组(P＜0.05).治疗后,2组血氧饱和度、最大吸气量及呼气量、呼吸肌肌力4级(包括4级)以上者均较治疗前明显提高(P＜0.05),观察组均高于对照组(P＜0.05).2组肺部感染率均较治疗前明显降低,观察组低于对照组(均P＜0.05).结论:呼吸功能训练应用于早期脑卒中气管切开术后患者,对拔出气管切开套管是积极有效的.%Objective:To compare the effect of respiratory function training and routine treatment on removing trachea cannula of stroke patients after tracheotomy.Methods:Eighty patients with early stroke after tracheotomy meeting the inclusion and exclusion criteria were collected and randomly divided into experimental group (n=40) and control group (n=40).The experimental group was treated with respiratory function training and routine treatment,while the control group was treated with the routine treatment alone.The rehabilitation effect between experimental group and control group was compared and analyzed through the assessment of respiratory muscle strength,finger-pulse oxygen saturation,pulmonary infection,retention time of trachea cannula,expiratory volume,inspiratory volume,and treatment costs.Results:Endotracheal intubation time of experimental group was obviously shor ter than the control group (P＜0.05).After treatment,the finger-pulse oxygen saturation,expiratory volume and inspiratory volume,respiratory muscle strength greater than level 4 (including level 4) of two groups were signifi cantly higher than before,and the above indexes in the experimental group were significantly higher than those in the control group (P＜0.05).The pulmonary infection of two groups was milder than before treatment (P＜0.05),and the pulmonary infection in the experimental group was deeper than that in the control group (P＜0.05).Conclusion:Respiratory function training applied to patients with early stroke after tracheotomy can significantly shorten the retention time of trachea cannula safely and effectively.