摘要
目的：评价阈值压力负荷呼吸肌训练对脑卒中患者的康复疗效。方法检索Cochrane图书馆、PubMed、Medline、Embase、OVID、中国生物医学文献数据库、万方数据库、中国知网全文数据库2005年1月-2015年6月相关随机对照研究，由2名研究员对文献质量进行严格评价和资料提取，对符合纳入标准的文献进行Meta分析。结果筛选符合纳入标准的随机对照研究4项，研究对象共167例，其中干预组（阈值压力负荷呼吸肌训练组）84例，对照组83例。与对照组相比，干预组呼吸肌强度明显改善（最大吸气压：MD=9.46,95%CI 4.61-14.32, P〈0.001。最大呼气压：MD=9.44,95%CI 2.68-16.20, P=0.006），并可减少肺部感染的发生率（OR=0.35,95%CI 0.13-0.97, P=0.04）。结论阈值压力负荷呼吸肌训练法可改善脑卒中患者呼吸肌功能，并在一定程度上减少肺部感染的发生。
Objective To study the effects of threshold training of respiratory muscles on respiratory muscle function and pulmonary in-fection after stroke with meta-analysis. Methods The randomized controlled trials about threshold training of respiratory muscles in stroke patients in Cochrane Library, PubMed, Medline, Embase, OVID, Chinese Biomedical Database, WanFang database and CNKI full-text data-base from January, 2005 to June, 2015 were systematically searched. Literatures were evaluated and extracted by two researchers. Results Four studies were included, with a total of 167 cases, 84 cases in the intervention group （threshold training of respiratory muscles） and 83 cases in the control group. Compared with the control group, the intervention might improve the respiratory muscle strength （for maximum inspired pressure, MD=9.46, 95%CI=4.61-14.32, P〈0.001;for maximum expired pressure, MD=9.44, 95%CI=2.68-16.20, P=0.006）, and decreased pulmonary infection （OR=0.35, 95%CI=0.13-0.97, P=0.04）. Conclusion Threshold training of respiratory muscles can improve respiratory muscle function and reduce the incidence of pulmonary infection.
出处
《中国康复理论与实践》
CSCD
北大核心
2016年第9期1069-1074,共6页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脑卒中
阈值压力负荷
呼吸肌训练
康复
META分析
stroke
pressure threshold load
respiratory muscle training
rehabilitation
meta-analysis
