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| Research progress of pulmonary rehabilitation in early rehabilitation of stroke#br# |
| LI Xin1 HU Luanjiao2 QUAN Fengying1 |
1.Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China；
2.the First Clinical College, Chongqing Medical University, Chongqing 400000, China |
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Abstract Pulmonary dysfunction in acute stage of stroke patients is one of the common complications, which affects the follow-up treatment and rehabilitation effect of patients. The application of pulmonary rehabilitation technology in patients with acute stroke can effectively improve their cardiopulmonary function, increase the rehabilitation effect of activity endurance, and nerve function, and comprehensively improve the prognosis of patients. This article reviews the pathogenesis of acute pulmonary dysfunction in post-stroke patients, the evidence-based basis of acute pulmonary rehabilitation of stroke and its clinical application in early rehabilitation of stroke, analyzes and summarizes the problems still exist in the clinical application, and puts forward further research direction to provide scientific guidance for the practical application of the clinical workers and theoretical basis.
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[1] GBD 2016 Stroke Collaborators. Global，regional，and national burden of stroke，1990-2016：a systematic analysis for the Global Burden of Disease Study 2016 [J]. Lancet Neurol，2019，18（5）：439-458.
[2] Gao Y，Jiang B，Sun H，et al. The burden of stroke in China：Results from a nationwide population-based epidemiological survey [J]. PLoS One，2018，13（12）：e208398.
[3] Wu S，Wu B，Liu M，et al. Stroke in China：advances and challenges in epidemiology，prevention，and management [J]. Lancet Neurol，2019，18（4）：394-405.
[4] 李莉，王大明，李永祥，等.脑卒中急性期肺功能障碍的研究进展[J].中国现代医生，2019，57（1）：155-160.
[5] 张通，赵军.中国脑卒中早期康复治疗指南[J].中华神经科杂志，2017，50（6）：405-412.
[6] Spruit MA，Singh SJ，Garvey C，et al. An official American Thoracic Society/European Respiratory Society statement：key concepts and advances in pulmonary rehabilitation [J]. Am J Respir Crit Care Med，2013，188（8）：e13-e64.
[7] 王璐，陆晓.脑卒中患者肺功能障碍康复研究进展[J].中国康复医学杂志，2018，33（6）：730-734.
[8] Kim J，Park JH，Yim J. Effects of Respiratory Muscle and Endurance Training using an Individualized Training Device on Pulmonary Function and Exercise Capacity in Stroke Patients [J]. Med Sci Monit，2014，20：2543-2549.
[9] Cieplik F，Wiedenhofer AM，Pietsch V，et al. Oral Health，Oral Microbiota，and Incidence of Stroke-Associated Pneumonia-A Prospective Observational Study [J]. Front Neurol，2020，11：528056.
[10] Zakrisson AB，Hiyoshi A，Theander K. A three-year follow-up of a nurse-led multidisciplinary pulmonary rehabilitation programme in primary health care：a quasi-experimental study [J]. J Clin Nurs，2016，25（7/8）：962-971.
[11] Costa DK，White MR，Ginier E，et al. Identifying Barriers to Delivering the Awakening and Breathing Coordination，Delirium，and Early Exercise/Mobility Bundle to Minimize Adverse Outcomes for Mechanically Ventilated Patients：A Systematic Review [J]. Chest，2017，152（2）：304-311.
[12] Hudson MB，Smuder AJ，Nelson WB，et al. Both high level pressure support ventilation and controlled mechanical ventilation induce diaphragm dysfunction and atrophy [J]. Crit Care Med，2012，40（4）：1254-1260.
[13] 杨晓龙，张甜甜，曲斯伟，等.脑卒中后呼吸功能康复的研究进展[J].中国康复医学杂志，2020，35（9）：1136-1140.
[14] Messaggi-Sartor M，Guillen-Solà A，Depolo M，et al. Inspiratory and expiratory muscle training in subacute stroke：A randomized clinical trial [J]. Neurology，2015， 85（7）：564-572.
[15] Liu YY，Li LF. Ventilator-induced diaphragm dysfunction in critical illness [J]. Exp Biol Med（Maywood），2018， 243（17/18）：1331-1339.
[16] Wang Q，Liu Y，Han L，et al. Risk factors for acute stroke-associated pneumonia and prediction of neutrophil-to-lymphocyte ratios [J]. Am J Emerg Med，2020，41：55-59.
[17] Ries AL，Bauldoff GS，Carlin BW，et al. Pulmonary Rehabilitation：Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines [J]. Chest，2007，131（5 Suppl）：4S-42S.
[18] 汪璐璐，徐凤玲，刘钢，等.机械通气患者早期肺康复分级方案的构建与应用研究[J].中华护理杂志，2020，55（8）：1125-1132.
[19] 袁梦鑫，陈雨莎，欧雪梅，等.慢性阻塞性肺疾病急性加重期肺康复研究进展[J].中国呼吸与危重监护杂志，2020， 19（1）：92-95.
[20] 张华文，李静怡.慢性阻塞性肺疾病急性加重期患者肺康复的研究进展[J].护理学杂志，2021，36（9）：22-25.
[21] Vitacca M，Ambrosino N，Belli S，et al. The severity of acute exacerbations of COPD and the effectiveness of pulmonary rehabilitation [J]. Respir Med，2021，184：106465.
[22] Dellweg D，Siemon K，H?觟hn E，et al. Early Pulmonary Rehabilitation after Long Term Mechanical Ventilation [J]. Pneumologie，2021，75（6）：432-438.
[23] Oh D，Kim G，Lee W，et al. Effects of inspiratory muscle training on balance ability and abdominal muscle thickness in chronic stroke patients [J]. J Phys Ther Sci，2016， 28（1）：107-111.
[24] 刘金明，肖府庭，章志超，等.呼吸训练对脑卒中患者肺功能及上肢运动功能的疗效观察[J].中国康复，2019， 34（2）：64-68.
[25] 裴飞，王雪冬，王艳，等. 呼吸训练结合常规康复训练对于脑梗死恢复期患者平衡功能的影响[J].中国康复医学杂志，2020，35（8）： 989-991.
[26] Seo K，Hwan PS，Park K. The effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients’ respiratory muscle activation [J]. J Phys Ther Sci，2017，29（3）：465-469.
[27] 王晓丹，王慧灵，刘承梅，等.改良的经络呼吸训练法对脑卒中急性期患者肺功能的影响[J].中华物理医学与康复杂志，2018，40（11）：826-829.
[28] Menezes KK，Nascimento LR，Avelino PR，et al. Efficacy of Interventions to Improve Respiratory Function After Stroke [J]. Respir Care，2018，63（7）： 920-933.
[29] Moon JH，Jung JH，Won YS，et al. Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia [J]. J Phys Ther Sci，2017，29（4）：609-612.
[30] Vaz LO，Almeida JC，Froes KSDSO，et al. Effects of inspiratory muscle training on walking capacity of individuals after stroke：A double-blind randomized trial [J]. Clin Rehabil，2021，35（9）：1247-1256.
[31] Choi HE，Jo GY，Do HK，et al. Comprehensive Respiratory Muscle Training Improves Pulmonary Function and Respiratory Muscle Strength in Acute Stroke Patients [J]. J Cardiopulm Rehabil Prev，2021，41（3）：166-171.
[32] Belli S，Prince I，Savio G，et al. Airway Clearance Techniques：The Right Choice for the Right Patient [J]. Front Med（Lausanne），2021，8：544826.
[33] Vilardell N，Rofes L，Nascimento WV，et al. Cough reflex attenuation and swallowing dysfunction in sub-acute |
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