摘要
目的探讨针刺联合呼吸锻炼在颈髓损伤患者呼吸功能康复中的作用。方法选取2021年2月—2023年2月在郑州市骨科医院接受手术治疗的92例颈髓损伤患者,所有患者均经过颈椎正侧位或颈椎核磁共振或颈椎CT确诊为颈髓损伤。参照随机数表法将患者分为对照组和观察组,每组患者46例,对照组采用常规康复功能训练,包括:关节活动度训练、电动起立床训练等,观察组在此基础上进行针刺联合呼吸训练。采用便携式肺功能检测仪对患者进行肺功能检查;采用高频凸阵超声探头进行平静呼吸膈肌活动度检测;采用Borg提出的呼吸困难评分量表对患者进行呼吸困难程度评价。结果干预前观察组用力肺活量(ForcedVital Capacity,FVC)和第一秒用力呼气量(Forced Expiratory Volume in one second,FEV1)分别为(1.90±0.58)L、(2.16±0.34)L,对照组FVC和FEV1分别为(1.92±0.52)L、(1.95±0.47)L,组间对比差异无意义(P>0.05);干预后观察组FVC和FEV1均高于对照组(P<0.05)。干预前观察组膈肌活动度与对照组比较无统计学意义(P>0.05);干预后观察组膈肌活动度(4.97±0.86)cm高于对照组(4.24±0.58)cm(P<0.05)。干预前观察组呼吸困难度评分与对照组的差异无统计学意义(P>0.05);干预后观察组呼吸困难度评分为(0.91±0.67)分,低于对照组(1.73±0.91)分(P<0.05)。结论针刺联合呼吸锻炼能够有效帮助颈髓损伤患者呼吸功能康复,值得临床推广。
Objective To explore the role of acupuncture combined with breathing exercises in the rehabilitation of respiratory function in patients with cervical spinal cord injuries.Methods A total of 92 patients with cervical spinal cord injury who received surgical treatment in our hospital from February 2021 to February 2023 were selected.All patients were diagnosed with cervical spinal cord injury through cervical anterolateral or cervical MRI or cervical CT.The patients were divided into control group and observation group according to random number table method,46 patients in each group.The control group received routine rehabilitation function training,including joint motion training,electric standing up bed training,etc.,and the control group received acupuncture combined with breathing training on this basis.The patients'lung function was examined by portable lung function detector.The diaphragm activity of calm breathing was measured by high frequency convex array ultrasonic probe.The dyspnea scale proposed by Borg was used to evaluate the degree of dyspnea.Results Forced Vital capacity(Forced Vital capacity)in the observation group before intervention Capacity,FVC and Forced Expiratory Volume in one second(FEV1)were(1.90±0.58)L and(2.16±0.34)L,respectively.In control group,FVC and FEV1 were(1.92±0.52)L and(1.95±0.47)L,respectively,and there was no significant difference between groups(P>0.05).After intervention,FVC and FEV1 in the observation group were higher than those in the control group(P<0.05).Before intervention,there was no statistical significance in diaphragmatic activity between the observation group and the control group(P>0.05).After intervention,the diaphragm activity in the observation group(4.97±0.86)cm was higher than that in the control group(4.24±0.58)cm(P<0.05).Before intervention,there was no significant difference in dyspnea score between the observation group and the control group(P>0.05).After intervention,the dyspnea score of the observation group was(0.91±0.67)points,which was lower than that of the control group(1.73±0.91)points(P<0.05).Conclusion Acupuncture combined with respiratory exercise can effectively help patients with cervical spinal cord injury recover their respiratory function,which is worth promoting in clinic.
作者
马民
陈颂
董红坤
MA Min;CHEN Song;DONG Hong-kun(Department of Rehabilitation Medicine,Zhengzhou Orthopaedic Hospital,Zhengzhou 450052,China)
出处
《医药论坛杂志》
2023年第22期106-109,共4页
Journal of Medical Forum
关键词
针刺
呼吸锻炼
颈髓损伤
呼吸功能
Acupuncture
Breathing exercise
Cervical spinal cord injury
Respiratory function
