Clinical Effect of MHI on Diaphragm Motion Amplitude and BI Index in Stroke Patients
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摘要:
目的 予脑卒中患者MHI（改良人工膨肺）技术，采用临床对照研究，观察该技术对患者膈肌运动幅度及日常生活活动能力（BI）的影响。 方法 遵循随机原则，选择脑卒中患者40名，随机分为治疗组（MHI技术及常规康复治疗）和对照组（常规康复治疗），分别于治疗前，治疗4周，8周进行B超下膈肌运动幅度观察、BI指数（日常生活活动能力）评定。 结果 治疗后，治疗组的膈肌运动幅度、BI的评分优于对照组，差异有统计学意义（P < 0.05），治疗组明显优于对照组，差异有统计学意义（ P < 0.001）。 结论 MHI技术联合常规康复训练可改善偏瘫患者的膈肌运动幅度，提升ADL能力。 Abstract:Objective To investigate the effects of MHI on diaphragm movement and BI Index in stroke patients. Methods From 2017 to 2018, 40 patients with stroke were randomly assigned into treatment group and control group equally. The control group received routine rehabilitation training, while the treatment group received MHI and Chest physiotherapy training in addition. All the patients were assessed with diaphragmatic motion, and Bathel Index（BI）before, four weeks and eight weeks after treatment. Results After eight weeks treatment, the scores of diaphragmatic motion, and BI improved more in the treatment group than in the control group（P < 0.001）. Conclusion MHI combined with routine rehabilitation training can improve the diaphragm motion amplitude and ADL ability of hemiplegic patients. -
Key words:
- Stroke /
- MHI /
- Diaphragmatic motion range /
- BI
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表 1 两组一般资料比较[（
$\bar x \pm s $ ），n]Table 1. Comparison to 2 groups of general data [（
$\bar x \pm s $ ），n]组别 n 性别 年龄
（岁）病变性质 吸烟 吞咽困难 男 女 脑出血 脑梗死 对照组 20 13 7 67.1 ± 7.14 4 16 7 12 治疗组 20 11 9 68.2 ± 6.72 5 15 6 10 
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表 2 2组膈肌运动幅度改善效果（
$\bar x \pm s $ ）Table 2. Improvement of diaphragmatic motor range in 2 groups （
$\bar x \pm s $ ）组别 n 膈肌运动幅度（cm） 治疗前 4周后 8周后 对照组 20 1.19 ± 0.41 1.36 ± 0.37 1.55 ± 0.32 治疗组 20 1.17 ± 0.39 1.52 ± 0.43 1.91 ± 0.39∆ 与对照组比较，∆P < 0.05。
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表 3 2组日常生活能力改善效果（
$\bar x\pm s $ ）Table 3. Improvement effect of daily living ability in 2 group （
$ \bar x\pm s$ ）组别 n BI 治疗前 4周后 8周后 对照组 20 22.5 ± 7.69 31.50 ± 6.90 41.75 ± 5.20 治疗组 20 24.25 ± 6.93 40.75 ± 6.12∆ 56.75 ± 6.34∆∆ 与对照组比较，∆P < 0.05， ∆∆P < 0.01。
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