Guoji laonian yixue zazhi (Mar 2024)
External Diaphragmatic Pacing Combined with Hu Xi Jian Fei Gong inthe Treatment of Pulmonary Dysfunction after Stroke
Abstract
Objective To investigate the clinical effect of external diaphragmatic pacing(EDP) combined with Hu Xi Jian Fei Gong in the treatment of pulmonary dysfunction in stroke patients. Methods From July 2020 to July 2022, 162 stroke patients in Shanghai Tongren Hospital and Yueyang Hospital of Integrated Traditional Chinese and Western Medicine were randomly divided into a control group and an observation group, with 81 patients in each group.Both group received conventional rehabilitation and EDP, and the observation group additionally received Hu Xi Jian Fei Gong.Forced vital capacity(FVC), forced expiratory volume in 1 second(FEV1), peak expiratory flow(PEF), diaphragmatic mobility, end-expiratory diaphragmatic thickness, and end-inspiratory diaphragmatic thickness were compared between the two groups before treatment and after 4 weeks of treatment.The activity of daily living(ADL) of 72 patients admitted to Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine were compared before treatment, after 4 weeks of treatment and 12 weeks after the end of treatment. Results After treatment, FVC, FEV1, PEF, end-expiratory diaphragmatic thickness and end-inspiratory diaphragmatic thickness in the two groups were higher than those before treatment(P<0.05), and the observation group was higher than the control group(P<0.05).After 4 weeks of treatment and 12 weeks after the end of treatment, the ADL scores of 72 patients were higher than those before treatment(P<0.05), and the observation group was higher than the control group(P<0.05). Conclusion EDP combined with Hu Xi Jian Fei Gong training can better improve the pulmonary function of patients after stroke.
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