Effects of lung rehabilitation training combined with systematic expectoration training on rehabilitation of stroke in patients subjected to tracheotomy / 中国基层医药

ABSTRACT

Objective:To investigate the effects of lung rehabilitation training combined with systematic expectoration training on rehabilitation of stroke in patients subjected to tracheotomy.Methods:Sixty patients with stroke subjected to tracheotomy who received treatment in Ningbo Rehabilitation Hospital, China between January 2018 and July 2019 were included in this study. These patients were randomly assigned to undergo either systematic expectoration training alone (control group, n = 30) or lung rehabilitation training combined with systematic expectoration training (observation group, n = 30) for 1 month. Therapeutic effect, number of daily sputum aspirations, blood oxygen saturation, maximum inspiratory volume, maximum expiratory volume, duration of infection control, duration of placement of indwelling tracheal catheter, and complications were compared between the two groups. Results:Total effective rate in the observation group was significantly higher than that in the control group [90.0% (27/30) vs. 73.3% (22/30), χ2 = 5.092, P < 0.05]. Before treatment, there were no significant differences in the number of daily sputum aspirations, blood oxygen saturation, maximum inspiratory volume, and maximum expiratory volume between the two groups ( t = 1.139, 0.705, 0.253, 0.519, P > 0.05). After treatment, the number of daily sputum aspirations in the observation group was significantly lower than that in the control group [(2.16 ± 1.28) counts vs. (3.59 ± 2.39) counts, t = 5.616]. Blood oxygen saturation, maximum inspiratory volume, maximum expiratory volume in the observation group were (99.3 ± 0.5)%, (479.37 ± 64.15) mL and (482.23 ± 62.16) mL, respectively, which were significantly higher than those in the control group [(95.8 ± 0.7)%, (403.58 ± 62.13) mL, (398.37 ± 64.24) mL, t = 4.075, 4.279, 4.106, all P < 0.05]. The duration of infection control and the duration of placement of the indwelling tracheal catheter in the observation group were (15.21 ± 5.48) days and (23.39 ± 6.51) days, which were significantly shorter than those in the control group [(23.39 ± 6.51) days, (32.64 ± 6.16) days, t = 6.080, 5.119, both P < 0.05]. The incidences of pulmonary infection and gastroesophageal reflux in the observation group were 6.7% (2/30) and 6.7% (2/30), respectively, which were significantly lower than those in the control group [16.7% (5/30), 70.0% (21/30), χ2 = 4.071, 4.372, both P < 0.05]. The proportion of patients with respiratory muscle strength ≥ grade 4 in the observation group was significantly higher than that in control group [96.7% (29/30) vs. 70.0% (21/30), χ2 = 14.402, P < 0.05]. Conclusion:Lung rehabilitation training combined with systematic expectoration training can greatly promote the rehabilitation of stroke patients subjected to tracheotomy, improve respiratory function, reduce pulmonary infection, and is safe and reliable.