目的 评估学龄儿童呼吸康复训练联合小儿推拿对肺炎康复的作用和意义。方法 回顾性选取武警特色医学中心2023-09至2024-10收治的100例肺炎患儿。根据纳入和排除标准,将接受不同干预措施的患儿分为对照组和观察组,每组各50例。对照组接受常规治疗,而观察组在常规治疗基础上增加呼吸康复训练和小儿推拿。两组均接受为期2周的治疗,分别对两组患儿康复时间、用力肺活量（FVC）、第一秒用力呼气容积（FEV1）、每分钟最大通气量（MVV）和呼气流量峰值（PEF）、运动耐力（6 min步行距离）、生活质量（PedsQL4.0）以及家长满意度进行了对比。结果 观察组患儿的平均住院时间为（7.34±1.42）d,比对照组明显缩短（P<0.05）;FVC、FEV1、MVV、PEF等肺功能相关指标水平均有所改善,且组间差异具有统计学意义（P<0.05）;观察组患儿6 min步行距离平均为（442±53）m,显著长于对照组（396±57）m（P<0.05）;PedsQL4.0评分也高于对照组,差异具有统计学意义（P<0.05）。结论 呼吸康复训练联合小儿推拿可缩短康复时间,显著改善肺炎患儿肺功能、提升运动耐力,改善生活质量,提高了家属满意度。
Abstract
Objective To evaluate the effect and significance of respiratory rehabilitation training combined with infantile massage on the rehabilitation of children with pneumonia. Methods A total of 100 children with pneumonia admitted to Characteristics Medical Center of Chinese People’s Armed Police Force from September 2023 to October 2024 were retrospectively selected. According to inclusion and exclusion criteria,the children receiving different intervention measures were divided into a control group and an observation group,with 50 cases in each group. The control group received conventional treatment,while the observation group received additional respiratory rehabilitation training and infantile massage on the basis of conventional treatment. Both groups received treatment for 2 weeks. Recovery time, forced vital capacity （FVC）, forced expiratory volume in the first second （FEV1）, maximum volume per minute （MVV） and peak expiratory flow （PEF）, exercise endurance （6-minute walking distance）, quality of life （PedsQL4.0） and parental satisfaction were compared between the two groups. Results The average hospitalization time of the observation group was 7.34±1.42 days, which was significantly shorter than that of the control group （P< 0.05）. The levels of FVC, FEV1, MVV, PEF and other lung function related indicators were improved,and there were statistical differences between groups （P < 0.05）. The average 6-minute walking distance in the observation group was （442±53）m, which was significantly longer than that in the control group （396±57）m （P<0.05）. The score of PedsQL4.0 was higher than that of the control group,and the difference was statistically significant （P< 0.05）. Conclusions Respiratory rehabilitation training combined with infantile massage can shorten the rehabilitation time,and significantly improve the lung function,exercise endurance,the quality of life and the satisfaction of family members.
关键词
呼吸康复训练 /
小儿推拿 /
肺炎 /
肺功能 /
运动耐力 /
生活质量
Key words
respiratory rehabilitation training /
infantile massage /
pneumonia /
lung function /
sports endurance /
quality of life
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