背景:难治性肺炎支原体肺炎(RMPP)引起肺功能损害,需要物理治疗辅助药物治疗。
目的:本研究旨在探讨趣味呼吸康复训练对RMPP患儿肺功能的影响。
方法:将我院2020年1月至2021年2月诊断为RMPP的76例儿童纳入本前瞻性研究。根据随机数表法,分为对照组和研究组,每组38例。对照组给予常规治疗,研究组在常规治疗的基础上接受趣味呼吸康复训练。退热的时候,肺部阴影和咳嗽消失时间,住院时间,肺功能(第一秒呼气容积(FEV1),强迫肺活量(FVC),FEV1/FVC)在干预前后1天,血清白细胞介素-6(IL-6),C反应蛋白(CRP),肿瘤坏死因子(TNF-α),和生活质量(儿科生活质量量表,观察两组PedsQL4.0量表)。
结果:解热时间,肺部阴影和咳嗽消失时间,研究组住院时间短于对照组(P<0.05)。干预前一天,FVC没有显着差异,FEV1,FEV1/FVC,IL-6,CRP,两组间TNF-α水平比较(P>0.05)。干预后的一天,FVC,研究组FEV1、FEV1/FVC优于对照组(P<0.05)。IL-6,CRP,研究组患者的TNF-α水平低于对照组,差异有统计学意义(P<0.05)。干预前一天,生理功能没有显著差异,情感功能,社会功能,两组间学校功能比较(P>0.05)。干预后,生理功能,情感功能,社会功能,研究组的学校功能优于对照组(P<0.05)。
结论:趣味呼吸康复训练能有效改善RMPP患儿的肺功能,具有很强的灵活性,值得临床推广应用。
BACKGROUND: Refractory Mycoplasma pneumoniae pneumonia (RMPP) cause damage of pulmonary function and physical therapy assisting medical treatment is needed.
OBJECTIVE: The aim of this study was to investigate the effect of interesting respiratory rehabilitation training on pulmonary function in children with RMPP.
METHODS: A total of 76 children with diagnoses of RMPP in our hospital from January 2020 to February 2021 were enrolled in this prospective study. According to the random number table method, they were divided into the control group and the study group, with 38 cases in each group. The control group were given conventional treatment, and the study group received interesting respiratory rehabilitation training in the basis of conventional treatment. The antipyretic time, disappearance time of pulmonary shadow and cough, length of hospital stay, pulmonary function (first second of expiratory volume (FEV1), forced vital capacity (FVC), FEV1/FVC) at 1 day before and after intervention, serum interleukin-6 (IL-6), C-reactive protein (CRP), tumor necrosis factor (TNF-α), and quality of life (Pediatric Quality of Life Inventory, PedsQL 4.0 scale) were observed in the two groups.
RESULTS: The antipyretic time, disappearance time of pulmonary shadow and cough, length of hospital stay in the study group were shorter than those in the control group (P < 0.05). One day before intervention, there was no significant difference in FVC, FEV1, FEV1/FVC IL-6, CRP, and TNF-α between the two groups (P > 0.05). One day after intervention, FVC, FEV1 and FEV1/FVC in the study group were better than those in the control group (P < 0.05), and the levels of IL-6, CRP, and TNF-α in the study group were lower than those in the control group with significant difference (P < 0.05). One day before intervention, there were no significant differences in physiological function, emotional function, social function, and school function between the two groups (P > 0.05). After intervention, physiological function, emotional function, social function, and school function of the study group were better than those of the control group (P < 0.05).
CONCLUSIONS: The interesting respiratory rehabilitation training can effectively improve the pulmonary function of children with RMPP, with strong flexibility, which is worthy of clinical application.