膈肌锻炼联合运动训练对脑卒中后疲劳的康复效果研究  

Rehabilitative effect of diaphragm muscle exercise combined with sport training on fatigue after cerebral infarction

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作  者:郑刚 徐前纬 杨开仁 ZHENG Gang;XU Qianwei;YANG Kairen(Department of Neurology,Yinzhou People's Hospital,Ningbo 315040,China)

机构地区:[1]鄞州人民医院神经内科,315040

出  处:《浙江医学》2019年第4期355-358,共4页Zhejiang Medical Journal

基  金:浙江省医药卫生科技计划项目(2016ZHB040).

摘  要:目的探讨膈肌锻炼结合运动训练对脑卒中后疲劳(PSF)的康复效果。方法选取2015年1月至2016年3月收治的104例PSF患者为研究对象,采用随机数字表法分为观察组和对照组,每组52例,对照组仅给予常规运动康复治疗,观察组在此基础上联合膈肌锻炼,比较两组患者治疗前后的肺功能、疲劳严重程度量表评分(FSS)、改良Barthel指数(MBI)量表评分、Fugl-Meyer运动功能量表(FMA)评分及脑卒中专门化生活质量量表(SS-QOL)评分。结果观察组治疗后的第1秒用力呼气容积(FEV1)、肺活量(VC)、用力肺活量(FVC)、MBI、FMA、SS-QOL评分均显著高于对照组,FSS评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论膈肌锻炼联合运动训练能显著改善PSF患者的肺功能、运动功能和日常生活活动能力,提高其生活质量,降低疲劳程度,值得推广应用。Objective To investigate the rehabilitative effect of diaphragm muscle exercise combined with sport training on fatigue after cerebral infarction.Methods One hundred and four patients with fatigue after cerebral infarction were enrolled between January 2015 and March 2016 and randomly divided into study group and control group with 52 cases in each group.The control group was only treated with routine exercise rehabilitation,while study group received diaphragm muscle exercise combined with sport training.The pulmonary function,the scores of fatigue severity scale(FSS),modified Barthel index(MBI),Fugl-Meyer motor function assessment(FMA)and the Quality of Life Scale dedicated stroke(SS-QOL)were compared between two groups before and after treatment.Results There were no significant differences in baseline data,pulmonary function,and the scores of FSS,MBI,FMA and SS-QOL before treatment between two groups(P>0.05).The first second forced expiratory volume(FEV1),vital capacity(VC),forced vital capacity(FVC),the scores of MBI,FMA and SS-QOL in study group were significantly higher than those in control group,and FSS score was significantly lower than that in control group after treatment(P<0.05).Conclusion For patients with fatigue after cerebral infarction,diaphragm muscle exercise combined with sport training can significantly improve their lung function,motor function,the daily life and quality of life,and reduce the severity of fatigue.

关 键 词:脑卒中后疲劳 膈肌锻炼 运动训练 康复 

分 类 号:R873[医药卫生—运动医学;医药卫生—临床医学]

 

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