《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (10): 948-950.

• 综述 • 上一篇    下一篇

脑瘫儿童呼吸功能特点及水疗的作用

郝文哲1,2; 吴卫红1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;2.中国康复研究中心北京博爱医院,北京市 100068
  • 收稿日期:2008-03-24 出版日期:2008-10-01 发布日期:2008-10-01

Features of Respiratory Function of Children with Cerebral Palsy and Effects of Hydrotherapy(review)

HAO Wen-zhe, WU Wei-hong   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2008-03-24 Published:2008-10-01 Online:2008-10-01

PDF (PC)

摘要： 脑瘫儿童的呼吸运动与呼吸功能有别于正常儿童,表现为呼吸肌、呼吸辅助肌的协调性差、胸廓结构异常、通气及换气功能障碍、总顺应性降低、肌纤维类型的分布改变等,而且静态和动态肺功能值也均有改变,继而会影响到发音、运动耗氧等。水疗是一种有效增强呼吸功能的训练,其适宜的温度可降低呼吸肌张力,流体静压可给外感受器和本体感受器一个广泛的刺激,有利于促进协调呼吸和相关功能,例如进食和说话。

关键词: 儿童, 脑性瘫痪, 呼吸, 水疗, 综述

Abstract: Compared with normal children,the children with cerebral palsy are different in respiratory movement and respiratory function,showing a less concordant in respiratory muscles,abnormal thoracic cage,disturbance in ventilation and air exchange,decreased compliance,changed distribution in muscle fiber types,and so on.Dynamic and static lung volumes have also changed.Pronunciation and oxygen uptake are involved for the respiratory disturbance too.Hydrotherapy is an effective training in improving respiratory function,proper temperature can reduce respiratory muscular tension,hydrostatic pressure provides extensive stimulation of the exteroceptors and proprioceptors.This is expected to improve coordination,respiration,and related functions such as eating and speaking.

Key words: children, cerebral palsy, respiration, hydrotherapy, review