Objective To investigate the effect of respiratory training on sleep breathing parameters in cerebral infarction patients complicated with obstructive sleep apnea syndrome (OSAS).Methods From March 1st, 2016 to August 30th, 2017, 60 young and middle-aged patients with cerebral infarction in basal ganglia complicated with OSAS in Wenzhou Hospital were divided into control group and respiratory training group with 30 cases in each group. All subjects underwent clinical data registration, and received conventional treatment and rehabilitation. The respiratory training group accepted manual respiratory training in addition, once a day, five times a week, for eight weeks. Before and after treatment, they were monitored to access apnea-hypopnea index (AHI), maximum oral pressure, average oxyhemoglobin saturation (SaO2), the lowest SaO2, the oxygen desaturation index, duration of lowest SaO2, and time percentages of SaO2 <90% and <80%.Results After treatment, the AHI, the maximum oral pressure, the average SaO2, the lowest SaO2 and the time percentage of SaO2 <90% were better in the respiratory training group than in the control group (t>3.086, P<0.01).Conclusion Respiratory training could improve the respiratory function, reduce the airway resistance, and relieve the nocturnal sleep apnea symptom. It may be one of the rehabilitation methods for brain injury complicated with OSAS.
WU Deng-chong
,
ZHOU Yu-huan
. Effects of Respiratory Training on Obstructive Sleep Apnea Syndrome in Patients with Basal Ganglia Infarction[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018
, 24(4)
: 462
-466
.
DOI: 10.3969/j.issn.1006-9771.2018.04.016
[1] 中华医学会呼吸病学分会睡眠呼吸障碍学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(2011年修订版)[J]. 中华结核和呼吸杂志, 2012, 35(1): 9-12.
[2] 何权瀛,陈宝元. 努力做好我国睡眠呼吸暂停综合征的分级医疗[J]. 中华结核和呼吸杂志, 2016, 39(12): 914-915.
[3] 中华医学会心血管病学分会流行病学组,中国医师协会心血管内科医师分会,中国老年学学会心脑血管病专业委员会. 糖代谢异常与动脉粥样硬化性心血管疾病临床诊断和治疗指南[J]. 中华心血管病杂志, 2015, 43(6): 488-506.
[4] Bagai K.Obstructive sleep apnea, stroke, and cardiovascular diseases[J]. Neurologist, 2010, 16(6): 329-339.
[5] Lim DC, Veasey SC.Neural injury in sleep apnea[J]. Curr Neurol Neurosci Rep, 2010, 10(1): 47-52.
[6] Habek M, Brinar W.Central sleep apnea and ataxia caused by brainstem lesion due to chronic neuroleptospirosis[J]. Neurology, 2009, 73(22): 1923-1924.
[7] 金玉,开芸. 研究老年冠心病与睡眠呼吸障碍的相关性[J]. 临床医药文献电子杂志, 2015, 2(13): 2599-2602.
[8] Lovin S, Mihiieseu T, Pandele GI, et al.Variability of cardiacrate in patients with obstructive sleep apnea/hypopnea[J]. Pneumologia, 2011, 60(2): 74-77.
[9] 张维,张杰,柳开忠. 脑梗死患者吞咽困难与睡眠呼吸紊乱的相关性研究[J]. 中国医师杂志, 2010, 12(5): 633-634.
[10] 章慧,邓丽影,刘昊,等. 急性脑梗死患者上气道形态变化[J]. 中华神经科杂志, 2009, 42(7): 479-483.
[11] Etternich FU, Brusis T, Koebke J, et al.Studies of the histomor phology and function of the uvula[J]. Laryngorhinootologie, 2007, 79(8): 465-470.
[12] 潘文森,袁雅冬,张鲁涛,等. 阻塞性睡眠呼吸暂停低通气综合征患者运动心肺功能的研究[J]. 中华结核和呼吸杂志, 2005, 28(11): 769-772.
[13] 林少华,郭光远,孙夫平. 有氧运动对阻塞性睡眠呼吸暂停低通气综合征患者心肺功能的影响[J]. 中华物理医学与康复杂志, 2012, 34(11): 834-836.
[14] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[15] Donaldson AV, Maddocks M, Martolini D, et al.Muscle function in COPD: a complex interplay[J]. Int J Chron Obstruct Pulmon Dis, 2012, 7: 523-535.
[16] Ali MS, Talwar D, Jain SK.The effect of a short-term pulmonary rehabilitation on exercise capacity and quality of life in patients hospitalised with acute exacerbation of chronic obstructive pulmonary disease[J]. Indian J Chest Dis Allied Sci, 2014, 56(1): 13-19.
[17] 明志红,高瑞雪,晏静. 胸腹式呼吸训练对脑出血患者肺功能影响的研究[J]. 医学综述, 2014, 20(10): 1916-1920.
[18] Laciuga H, Rosenbek JC, Davenport PW, et al.Functional outcomes associated with expiratory muscle strength training[J]. J Rehabil Res Dev, 2014, 51(4): 535-546.
[19] George JM, Sen KI, Raveendran C.Evaluation of the effect of exercise on pulmonary function in young healthy adults[J]. J Biomed Adv Res, 2014, 5(6): 308-312.
[20] 喻淑慧,李园园,胡克. 去肾交感神经术治疗顽同性高血压合并阻塞性睡眠呼吸暂停的研究进展[J]. 中国呼吸与危重监护杂志, 2015, 14(3): 317-320.
[21] Burns SP, Kapur V, Yin KS, et al.Factors associated with sleep apnea in men with spinal cord injury: a population-based case-control study[J]. Spinal Cord, 2001, 39(1): 15-22.
[22] Slack RS, Shucart W.Respiratory dysfunction associated with traumatic injury to the central nervous system[J]. Clin Chest Med, 1994, 15(4): 739-749.
[23] Michael AC, Brent OB.Surface electromyographic characteristics of swallowing in dysphagia secondary to brainstem stroke[J]. Dysphagia, 1997, 12: 180-187.
[24] Kido S, Nakajima Y, Miyasaka T, et al.Effects of combined training with breathing resistance and sustained physical exertion to improve endurance capacity and respiratory muscle function in healthy young adults[J]. J Phys Ther Sci, 2013, 25(5): 605-610.
[25] Aslan GK, Gurses HN, Issever H, et al.Effects of respiratory muscle training on pulmonary functions in patients with slowly progressive neuromuscular disease: a randomized controlled trial[J]. Clin Rehabil, 2013, 28(6): 573-581.
[26] Félix E, Gimenes AC, Costa-Carvalho BT.Effects of inspiratory muscle training on lung volumes, respiratory muscle strength, and quality of life in patients with ataxia telangiectasia[J]. Pediatr Pulmonol, 2014, 49(3): 238-244.
[27] Sapienza C, Troche M, Pitts T, et al.Respiratory strength training: concept and intervention outcomes[J]. Semin Speech Lang, 2011, 32(1): 21-30.
