Effect of systematic respiratory training on lung function in patients with mild to moderate traumatic brain injury_West China Medical Journal

Authors：

SONG Qian , GUO Xiaoye , QI Lei , LIANG Chen , WANG Tuo , BAO Gang ,  LI Ruichun

Department of Neurosurgery, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi 710061, P. R. China;

Corresponding author：

LI Ruichun, Email: lrckhz@126.com

Keywords：

Breathing training; Traumatic brain injury; Pulmonary function

DOI：

10.7507/1002-0179.201805188

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the effect of systematic respiratory training on lung function in patients with mild to moderate traumatic brain injury. Methods A total of 60 patients with craniocerebral injury who received conservative treatment from January 2015 to June 2017 were selected. These patients were randomly divided into two groups: breathing training group for systematic breathing training and conventional treatment group for conventional rehabilitation training. Pulmonary infection, length of hospital stay, lung function determination, vital capacity, percentage of maximal ventilation, patient’s oxygen saturation, arterial partial pressure of oxygen, peak airway pressure, airway resistance, and respiratory mechanics were observed. Results The pulmonary infection rate and the length of hospital stay in the respiratory training group were 10.0% and (8.17±0.99) days, respectively, which were significantly lower than those in the conventional treatment group [33.3% and (12.67±0.99) days, respectively]; the differences between the two groups were statistically significant (P<0.05). At the same time, pulmonary function, oxygen saturation, arterial oxygen tension, and respiratory mechanics were all better in the breathing training group than those in the conventional treatment group, the differences between the two groups were statistically significant (P<0.05). Conclusion Breathing training can significantly improve the recovery of lung function in patients with mild to moderate traumatic brain injury, reduce the incidence of complications and effectively improve the prognosis.

Citation： SONG Qian, GUO Xiaoye, QI Lei, LIANG Chen, WANG Tuo, BAO Gang, LI Ruichun. Effect of systematic respiratory training on lung function in patients with mild to moderate traumatic brain injury. West China Medical Journal, 2018, 33(6): 732-735. doi: 10.7507/1002-0179.201805188 Copy

1.	Haider MN, Leddy JJ, Hinds AL, et al. Intracranial pressure changes after mild traumatic brain injury: a systematic review. Brain Inj, 2018, 32(7): 809-815.
2.	张恒, 王军, 仇波, 等. 集束化方案治疗急性脑损伤合并急性肺损伤/急性呼吸窘迫综合征疗效分析. 中国医科大学学报, 2017, 4 (46): 317-320.
3.	宋伟正, 刘家刚, 蔡萍. 去大骨瓣减压术在治疗重型颅脑损伤中的应用及疗效分析. 华西医学, 2014, 29 (9): 1647-1649.
4.	Della Torre V, Badenes R, Corradi F, et al. Acute respiratory distress syndrome in traumatic brain injury: how do we manage it?. J Thorac Dis, 2017, 9(12): 5368-5381.
5.	罗昌彬, 曹灵红, 杨呈浩. 高压氧与尼莫地平联合治疗颅脑损伤所致脑功能障碍的疗效研究. 华西医学, 2015, 30(6): 1015-1018.
6.	O’phelan KH, Merenda A, Denny KG, et al. Therapeutic temperature modulation is associated with pulmonary complications in patients with severe traumatic brain injury. World J Crit Care Med, 2015, 4(4): 296-301.
7.	雷昆, 胡浉波, 陈春阳. 重型颅脑损伤后二次脑损伤相关因素临床分析. 当代医学, 2010(26):101-102.
8.	Reddy GD, Gopinath S, Robertson CS. Transfusion in traumatic brain injury. Curr Treat Options Neurol, 2015, 17(11): 46.
9.	王正元. 不同吸痰方法对重型颅脑损伤患者气管切开早期肺通气功能及肺部感染的影响. 中国处方药, 2016(1): 140-141.
10.	Jovanovic B, Milan Z, Markovic-Denic L, et al. Risk factors for ventilator-associated pneumonia in patients with severe traumatic brain injury in a serbian trauma centre. Int J Infect Dis, 2015, 38: 46-51.
11.	皮加. 早期康复护理干预对重型颅脑损伤术后偏瘫肢体康复效果的影响. 河北医学, 2013, 19(5): 768-771.
12.	钦卓辉, 张健杰, 司徒洁, 等. 呼吸功能训练对尘肺患者肺功能的影响. 华西医学, 2014, 29(6): 1071-1073.
13.	王冠, 庞亮亮, 夏婷, 等. 呼吸训练器在 COPD 患者缩唇腹式呼吸训练中的应用. 现代临床护理, 2015(11): 22-25.
14.	Iaccarino MA, Bhatnagar S, Zafonte R. Rehabilitation after traumatic brain injury. Handb Clin Neurol, 2015, 127: 411-422.
15.	马丹, 袁岚. 系统呼吸训练在食管癌患者围术期的应用. 华西医学, 2013, 28(6): 922-923.

1. Haider MN, Leddy JJ, Hinds AL, et al. Intracranial pressure changes after mild traumatic brain injury: a systematic review. Brain Inj, 2018, 32(7): 809-815.
2. 张恒, 王军, 仇波, 等. 集束化方案治疗急性脑损伤合并急性肺损伤/急性呼吸窘迫综合征疗效分析. 中国医科大学学报, 2017, 4 (46): 317-320.
3. 宋伟正, 刘家刚, 蔡萍. 去大骨瓣减压术在治疗重型颅脑损伤中的应用及疗效分析. 华西医学, 2014, 29 (9): 1647-1649.
4. Della Torre V, Badenes R, Corradi F, et al. Acute respiratory distress syndrome in traumatic brain injury: how do we manage it?. J Thorac Dis, 2017, 9(12): 5368-5381.
5. 罗昌彬, 曹灵红, 杨呈浩. 高压氧与尼莫地平联合治疗颅脑损伤所致脑功能障碍的疗效研究. 华西医学, 2015, 30(6): 1015-1018.
6. O’phelan KH, Merenda A, Denny KG, et al. Therapeutic temperature modulation is associated with pulmonary complications in patients with severe traumatic brain injury. World J Crit Care Med, 2015, 4(4): 296-301.
7. 雷昆, 胡浉波, 陈春阳. 重型颅脑损伤后二次脑损伤相关因素临床分析. 当代医学, 2010(26):101-102.
8. Reddy GD, Gopinath S, Robertson CS. Transfusion in traumatic brain injury. Curr Treat Options Neurol, 2015, 17(11): 46.
9. 王正元. 不同吸痰方法对重型颅脑损伤患者气管切开早期肺通气功能及肺部感染的影响. 中国处方药, 2016(1): 140-141.
10. Jovanovic B, Milan Z, Markovic-Denic L, et al. Risk factors for ventilator-associated pneumonia in patients with severe traumatic brain injury in a serbian trauma centre. Int J Infect Dis, 2015, 38: 46-51.
11. 皮加. 早期康复护理干预对重型颅脑损伤术后偏瘫肢体康复效果的影响. 河北医学, 2013, 19(5): 768-771.
12. 钦卓辉, 张健杰, 司徒洁, 等. 呼吸功能训练对尘肺患者肺功能的影响. 华西医学, 2014, 29(6): 1071-1073.
13. 王冠, 庞亮亮, 夏婷, 等. 呼吸训练器在 COPD 患者缩唇腹式呼吸训练中的应用. 现代临床护理, 2015(11): 22-25.
14. Iaccarino MA, Bhatnagar S, Zafonte R. Rehabilitation after traumatic brain injury. Handb Clin Neurol, 2015, 127: 411-422.
15. 马丹, 袁岚. 系统呼吸训练在食管癌患者围术期的应用. 华西医学, 2013, 28(6): 922-923.

West China Medical Journal

Effect of systematic respiratory training on lung function in patients with mild to moderate traumatic brain injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content