个性化呼吸训练对脑卒中后气管切开患者 肺功能的影响.

Objective：To observe the effect of personalized respiratory breathing training on pulmonary function in patients with tracheotomy after stroke. Method：Fifty-two post-stroke tracheotomy patients who met the inclusion criteria were divided into a control group （n=26) and an intervention group （n=26). During the observation period, one patient in the control group and one in the intervention group each was lost to follow-up. The control group was given the postural drainage combined with vibration expectoration on the basis of routine rehabilitation, while the intervention group was given individualized breathing training on the basis of the control group. The observation period was 6 weeks, and the pulmonary function, diaphragmatic muscle mobility, diaphragmatic muscle thickening rate, extubation time and extubation success rate were compared between the two groups. Result：Before training, there were no significant differences in pulmonary function indexes （FVC, FEV1 and PEF), diaphragmatic activity（DEq, DEd), and diaphragm thickening rate（DTF)between the two groups（P> 0.05). After 6 weeks of training, the FVC, FEV1, PEF, DEq, DEd and DTF of the two groups were significantly improved compared with those before training （P<0.05)；and the intervention group was more significantly improved than the control group （P<0.05)；The extubation time in the intervention group was significantly shorter than that in the control group （P<0.05)；and the success rate of extubation in the intervention group was 92%, which was significantly higher than that in the control group （68.0%), and the difference was statistically significant（P<0.05). Conclusion: Personalized respiratory training can more effectively improve the pulmonary function of tracheotomy patients after stroke, shorten the removal time of tracheal cannula, and improve the success rate of extubation. [ABSTRACT FROM AUTHOR]