呼吸训练在脑卒中康复中的应用进展
Journal: Basic Medical Theory Research DOI: 10.32629/bmtr.v8i3.20466
Abstract
脑卒中是一种常见的神经系统疾病。由脑卒中带来的各种功能障碍给患者、患者家庭及社会均带来沉重的负担。呼吸训练是一种重要的康复训练手段，包含呼吸模式训练、呼吸肌训练、“六字诀”呼吸训练等训练方式，可改善脑卒中后的呼吸、运动、吞咽、言语、心血管等功能。综述当前呼吸训练在脑卒中康复中的应用进展，以期为脑卒中的综合康复提供参考。
Keywords
脑卒中；呼吸训练；康复；进展
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[26] 邢娟,胡树华,汤沉沉,等.呼吸训练对脑卒中失能老人肺功能及日常生活能力的影响[J].按摩与康复医学,2022,13(11):14-17.
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[28] Naoki M ,Harumi S ,Yu T , et al.Effect of pulmonary training for community‐dwelling frail older adults with chronic stroke: A randomized controlled pilot trial[J].Journal of General and Family Medicine,2021,23(3):140-148.
[29] Hao X ,Yang Y ,Qin Y , et al.The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis.[J].Western journal of nursing research,2024,46(5):1939459241242533.
[30] 张奕雯,万勤,王勇丽,等.脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究[J].中国听力语言康复科学杂志,2024,22(6):618-623.
[31] Arnold RJ, Gaskill CS, Bausek N. Effect of Combined Respiratory Muscle Training (cRMT) on Dysphonia following Single CVA: A Retrospective Pilot Study. J Voice. 2023 Jul;37(4):529-538.
[32] Mia L ,P D C ,Ninitha A , et al.Slow-Paced Breathing and Autonomic Function in People Post-stroke.[J].Frontiers in physiology,2020,11573325-573325.
[33] 裴飞,吴珊红,赵明月,等.基于呼吸-交感神经偶联机制的呼吸训练对于脑卒中患者血压影响的研究[J].中国康复医学杂志,2022,37(12):1630-1634.
[34] Craighead D H , Tavoian D , Freeberg K A ,et al.A multi-trial, retrospective analysis of the antihypertensive effects of high-resistance, low-volume inspiratory muscle strength training[J].Journal of applied physiology (Bethesda, Md.: 1985), 2022, 133(4):1001-1010.
[35] Freeberg KA, Craighead DH, Heinbockel TC, et al.Time-efficient, high-resistance inspiratory muscle strength training increases cerebrovascular reactivity in midlife and older adults. Am J Physiol Heart Circ Physiol. 2023 Nov 1;325(5):H1059-H1068.
[36] 李中元,陈梓琼,余李强,等.六字诀呼吸训练对脑卒中患者血管性危险因素的影响[J].中国卫生标准管理,2023,14(20):152-155.
[37] 高民,肖桂红,葛书萍,等.渐进性抗阻呼吸综合康复方案对卒中后抑郁患者的临床疗效[J].徐州医科大学学报,2025,45(1):74-78.
[38] 王卫珍,徐丹丹,蒋家政,等.呼吸训练联合认知干预对改善急性脑卒中患者焦虑抑郁情绪及生活质量的效果[J].中国健康心理学杂志,2025,33(3):387-391.
[2] Abdullahi A ,Wong W T ,Ng S S .Efficacy of diaphragmatic breathing exercise on respiratory, cognitive, and motor function outcomes in patients with stroke: a systematic review and meta-analysis[J].Frontiers in Neurology,2024,141233408-1233408.
[3] Zhang Y S , Zhang K , Huang L ,et al.The effects of respiratory muscle training on respiratory function and functional capacity in patients with early stroke: a meta-analysis[J].European Reviews of Aging & Physical Activity, 2024, 21(1):01-18.
[4] Choi, Hee EunJo, Geun YeolDo, Hwan KwonOn, Cheol Won.Comprehensive Respiratory Muscle Training Improves Pulmonary Function and Respiratory Muscle Strength in Acute Stroke Patients[J].Journal of cardiopulmonary rehabilitation and prevention, 2021, 41(3):01-10.
[5] Liu F, Jones A Y M , Tsang R C C ,et al.Diaphragm and sternocleidomastoid muscle activity with increasing inspiratory pressure loads in people after stroke[J].Scientific Reports, (2025) 15:5856.
[6] 张建辉,李会娜.“六字诀”呼吸功能训练联合作业治疗对脑卒中恢复期患者平衡能力及心肺功能的影响[J].辽宁医学杂志, 2024,38(01):99-101.
[7] 王晨,张培珍,杨发明,等.六字诀训练对脑卒中恢复期患者平衡功能和呼吸功能的影响[J].康复学报,2022,32(04):306-313.
[8] 张雪薇,郑琳琳,吴珊红,等.俞募配穴结合六字诀训练治疗脑卒中后构音障碍的临床观察[J].中国康复,2024,39(3):146-149.
[9] 郝世杰,庄贺,刘西花,等.综合呼吸训练对脑卒中患者运动性构音障碍的影响[J].中国康复,2022,37(5):263-266.
[10] 刘淑芬.六字诀联合吞咽训练对卒中后吞咽障碍患者的临床观察[D].湖南中医药大学,2024.
[11] 李雪梅,刘燕平,柯俊华,等.六字诀对气虚血瘀型脑卒中后疲劳患者的影响[J].中国康复医学杂志,2025(3):410-415.
[12] 陈金辉,陈心铭,刘芳.六字诀联合常规康复训练对轻度卒中后认知障碍患者执行功能的影响[J].福建中医药,2024,55(8):7-11.
[13] 张琪,刘欢,高汉义,等.体外膈肌起搏联合呼吸训练对脑卒中恢复期患者呼吸肌的影响[J].潍坊医学院学报,2023,45(1):37-40.
[14] 李好.电针联合呼吸训练对卒中后气管切开患者膈肌功能的影响[D].广州中医药大学,2023.
[15] 周菲,陈明亮,王艳,等.神经肌肉电刺激联合呼吸训练治疗老年脑卒中后吞咽功能的疗效[J].中国老年学杂志,2023,43(11):2657-2661.
[16] 郭和杰,石明芳,刘光华,等.常规呼吸训练结合发音视觉反馈训练对脑卒中患者呼吸功能的影响[J].复旦学报(医学版),2024,51(6):990-996.
[17] 邵仲萍,李昊,卞心怡.下肢机器人训练联合呼吸训练对脑卒中偏瘫患者肺功能及运动耐力的影响[J].中华保健医学杂志,2025(2):239-243.
[18] Lee H D ,Jeon J H .Effects of inspiratory muscle training on pulmonary function, trunk stability, and balance in stroke patients: a stratified randomized controlled trial.[J].Journal of exercise rehabilitation,2025,21(3):131-139.
[19] 刘陵鑫,陈攀,杨帅,等.下肢机器人训练联合呼吸训练对脑卒中患者肺功能及运动耐力的影响[J].中国康复医学杂志,2022,37(8):1063-1067.
[20] Li L ,Liu R ,He J , et al.Effects of threshold respiratory muscle training on respiratory muscle strength, pulmonary function and exercise endurance after stroke: a meta-analysis.[J].Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association,2024,33(8):107837.
[21] 孙文静,汪笑妹,杜金磊,等.呼吸肌训练对患者脑卒中后呼吸和平衡功能影响的Meta分析[J].护理管理杂志,2022,22(4):271-275.
[22] Fabero-Garrido, Raúl del Corral, Tamara Angulo-Díaz-Parreño, et al. Respiratory muscle training improves exercise tolerance and respiratory muscle function/structure post-stroke at short term: A systematic review and meta-analysis[J]. Annals of Physical and Rehabilitation Medicine,2022,65(5):01-12
[23] Jeong, Yoon JeongKim, Gyu SeongJeong, Yeon GyuMoon, Hyun Im.Can Pulmonary Function Testing Predict the Functional Outcomes of Poststroke Patients? An Observational Study[J].American Journal of Physical Medicine and Rehabilitation, 2020, 99(12):1052-1063
[24] Nuñ C M ,Filha E ,Mascarenhas L , et al.Stroke Severity and Maximum Inspiratory Pressure are Independently Associated with Functional Mobility in Individuals After Stroke[J].Journal of Stroke and Cerebrovascular Diseases,2020,29(12):105375.
[25] Pai H C , Li C C .Relationship Between Trunk Control Ability and Respiratory Function in Stroke Patients: A Scoping Review and Meta-Analysis[J].asian nursing research, 2023, 17(2):01-11.
[26] 邢娟,胡树华,汤沉沉,等.呼吸训练对脑卒中失能老人肺功能及日常生活能力的影响[J].按摩与康复医学,2022,13(11):14-17.
[27] A S ,I C ,C O , et al.Dysphagia and pulmonary complications in acute cerebrovascular disease: A retrospective observational study.[J].Rehabilitacion,2023,57(4):100804.
[28] Naoki M ,Harumi S ,Yu T , et al.Effect of pulmonary training for community‐dwelling frail older adults with chronic stroke: A randomized controlled pilot trial[J].Journal of General and Family Medicine,2021,23(3):140-148.
[29] Hao X ,Yang Y ,Qin Y , et al.The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis.[J].Western journal of nursing research,2024,46(5):1939459241242533.
[30] 张奕雯,万勤,王勇丽,等.脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究[J].中国听力语言康复科学杂志,2024,22(6):618-623.
[31] Arnold RJ, Gaskill CS, Bausek N. Effect of Combined Respiratory Muscle Training (cRMT) on Dysphonia following Single CVA: A Retrospective Pilot Study. J Voice. 2023 Jul;37(4):529-538.
[32] Mia L ,P D C ,Ninitha A , et al.Slow-Paced Breathing and Autonomic Function in People Post-stroke.[J].Frontiers in physiology,2020,11573325-573325.
[33] 裴飞,吴珊红,赵明月,等.基于呼吸-交感神经偶联机制的呼吸训练对于脑卒中患者血压影响的研究[J].中国康复医学杂志,2022,37(12):1630-1634.
[34] Craighead D H , Tavoian D , Freeberg K A ,et al.A multi-trial, retrospective analysis of the antihypertensive effects of high-resistance, low-volume inspiratory muscle strength training[J].Journal of applied physiology (Bethesda, Md.: 1985), 2022, 133(4):1001-1010.
[35] Freeberg KA, Craighead DH, Heinbockel TC, et al.Time-efficient, high-resistance inspiratory muscle strength training increases cerebrovascular reactivity in midlife and older adults. Am J Physiol Heart Circ Physiol. 2023 Nov 1;325(5):H1059-H1068.
[36] 李中元,陈梓琼,余李强,等.六字诀呼吸训练对脑卒中患者血管性危险因素的影响[J].中国卫生标准管理,2023,14(20):152-155.
[37] 高民,肖桂红,葛书萍,等.渐进性抗阻呼吸综合康复方案对卒中后抑郁患者的临床疗效[J].徐州医科大学学报,2025,45(1):74-78.
[38] 王卫珍,徐丹丹,蒋家政,等.呼吸训练联合认知干预对改善急性脑卒中患者焦虑抑郁情绪及生活质量的效果[J].中国健康心理学杂志,2025,33(3):387-391.
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