Volume 19 Issue 8
Aug.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(8): 1367-1369,1381
LIU Wei-li, ZHANG Xiao-xiao, LI Fei-xiang, LI Jing-jing, YIN Xian-yin, LI Shu-qiang, LUO Xun, WEN Jun, CUI Jian, WU Rui. Clinical study of the effects of threshold pressure load respiratory muscle training on respiratory function rehabilitation in patients with brain trauma[J]. Chinese Journal of General Practice, 2021, 19(8): 1367-1369,1381. doi: 10.16766/j.cnki.issn.1674-4152.002062
Citation: LIU Wei-li, ZHANG Xiao-xiao, LI Fei-xiang, LI Jing-jing, YIN Xian-yin, LI Shu-qiang, LUO Xun, WEN Jun, CUI Jian, WU Rui. Clinical study of the effects of threshold pressure load respiratory muscle training on respiratory function rehabilitation in patients with brain trauma[J]. Chinese Journal of General Practice, 2021, 19(8): 1367-1369,1381. doi: 10.16766/j.cnki.issn.1674-4152.002062
shu

Clinical study of the effects of threshold pressure load respiratory muscle training on respiratory function rehabilitation in patients with brain trauma

doi: 10.16766/j.cnki.issn.1674-4152.002062
  • 1.

    Department of Rehabilitation Medicine, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000

Funds:

 2018010010

  • Received Date: 2020-07-26
    Available Online: 2022-02-16
    Abstract
  •   Objective  The aim of this study was to observe of the effect of threshold pressure load respiratory muscle training on respiratory function rehabilitation in patients with traumatic brain injury.  Methods  Sixty patients with brain trauma from March 2018 to June 2019 in the Second Affiliated Hospital of Zhengzhou University were included in the study. They were divided into the observation group (30 cases) and the control group (30 cases) according to the random number table method. Both groups underwent routine medical treatment and rehabilitation. The observation group also underwent threshold pressure loaded respiratory muscle training, treatment for 6 weeks. The pulmonary function indexes, arterial blood gas analysis, inspiratory muscle function and pulmonary infection were evaluated before and after treatment between the two groups.  Results  At the end of 6 weeks of treatment in the observation group, the maximum ventilatory volume [MVV, (85.23±1.21)%], forced expiratory volume in one second [FEV1, (2.41±0.28)L/s], forced vital capacity [FVC, (3.26±0.35)L], one second rate [FEV1/FVC, (85.90±2.60)%], maximum inspiratory pressure [MIP, (87.40±6.82) cm H2O], peak of inspiratory flow[PIF, (5.39±0.12) L/s] were significantly higher than those before the treatment (all P < 0.05), and MVV, FEV1, FVC, FEV1/FVC, MIP, PIF at the end of treatment in the control group were also significantly higher than those before the treatment (all P < 0.05), and the observation group improved more significantly as compared with the control group after the treatment (all P < 0.05). After the treatment, arterial partial pressure of carbon dioxide (PaCO2) and arterial partial pressure of oxygen (PaO2) in the observation group [(38.10±1.50) mm Hg and (89.31±1.60) mm Hg] were significantly improved when compared with those before the treatment [(40.21±1.63) mm Hg and (75.66±1.68) mm Hg], all P < 0.05. The pulmonary infection rate in the observation group (6.7%) was significantly lower than that in the control group (30.0%), P < 0.05.  Conclusion  Threshold pressure-loaded respiratory muscle training can significantly improve the respiratory function of patients with traumatic brain injury, increase the partial pressure of arterial oxygen, and significantly reduce the rate of pulmonary infection.

     

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