六字诀联合呼吸训练对脊髓损伤患者肺功能及心理状况的影响研究

Effect of liuzijue combined with breathing training on lung function and psychological status of patients with spinal cord injury

关键词:  六字诀  呼吸训练  脊髓损伤  肺功能  心理状况

Key words:  liuzijue  breathing training  spinal cord injury  lung function  psychological status

摘要:

[目的] 观察六字诀联合呼吸训练对脊髓损伤患者肺功能及心理状况的影响。[方法] 选取山东中医药大学附属医院59例脊髓损伤（SCI）患者，随机分为对照组和训练组，两组均采用常规康复训练计划，对照组给予常规呼吸训练和吸气肌训练，训练组在对照组的基础上进行六字诀训练。8周后对患者的肺功能、吸气肌力量、心理状况进行评估。[结果] 8周后两组患者的肺功能、吸气肌力量、心理状况较治疗前均有改善（P＜0.05）。治疗后训练组患者的用力肺活量（FVC）、第1秒最大呼气量（FEV1）、每分最大通气量（MVV）、吸气肌肌力指数（MIP）均明显高于对照组（P＜0.05），广泛性焦虑自评量表（GAD-7）和抑郁症筛查量表（PHQ-9）评分均明显低于对照组（P＜0.05），两组的用力呼气25%流量（MEF25%）、用力呼气50%流量（MEF50%）、用力呼气75%流量（MEF75%）、吸气流速峰值（PIF）相比，差异无统计学意义（P＞0.05）。[结论] 六字诀联合呼吸训练可以改善SCI患者肺功能及心理状况，效果好于单纯呼吸训练。

Abstract:

[Objective] To observe the effect of liuzijue combined with breathing training on lung function and psychological status of patients with spinal cord injury. [Methods] Fifty-nine patients with spinal cord injury(SCI) in The Affiliated Hospital of Shandong University of Traditional Chinese Medicine were randomly divided into control group and treatment group. Both groups received routine rehabilitation training plan. The control group was given routine breathing training and inspiratory muscle training. The treatment group added the liuzijue on the basis of the control group. The patients' lung function,inspiratory muscle strength,and psychological status were assessed 8 weeks later. [Results] Eight weeks later,lung function,inspiratory muscle strength,and psychological status improved in both groups compared to before treatment(P<0.05),the forced vital capacity(FVC),forced expiratory volume in one second(FEV₁),maximal voluntary ventilation(MVV) and maximum inspiratory pressure(MIP) of the training group were significantly higher than those of the control group(P<0.05),generalized anxiety disorder(Gad-7) and and patient health questionnaire-G(PHQ-G) Scores were significantly lower than those of control group(P<0.05). There were no significant differences in maximal expiratory flow(MEF)25%,MEF50%,MEF75% and peak inspiratory flow(PIF) between the two groups(P>0.05). [Conclusion] Liuzijue combined with breathing training can improve the lung function and psychological status of patients with spinal cord injury,and its effect is better than that of breathing training alone.