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：

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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.	張恒, 王軍, 仇波, 等. 集束化方案治療急性腦損傷合并急性肺損傷/急性呼吸窘迫綜合征療效分析. 中國醫科大學學報, 2017, 4 (46): 317-320.
3.	宋偉正, 劉家剛, 蔡萍. 去大骨瓣減壓術在治療重型顱腦損傷中的應用及療效分析. 華西醫學, 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.	羅昌彬, 曹靈紅, 楊呈浩. 高壓氧與尼莫地平聯合治療顱腦損傷所致腦功能障礙的療效研究. 華西醫學, 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, 陳春陽. 重型顱腦損傷后二次腦損傷相關因素臨床分析. 當代醫學, 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. 不同吸痰方法對重型顱腦損傷患者氣管切開早期肺通氣功能及肺部感染的影響. 中國處方藥, 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. 早期康復護理干預對重型顱腦損傷術后偏癱肢體康復效果的影響. 河北醫學, 2013, 19(5): 768-771.
12.	欽卓輝, 張健杰, 司徒潔, 等. 呼吸功能訓練對塵肺患者肺功能的影響. 華西醫學, 2014, 29(6): 1071-1073.
13.	王冠, 龐亮亮, 夏婷, 等. 呼吸訓練器在 COPD 患者縮唇腹式呼吸訓練中的應用. 現代臨床護理, 2015(11): 22-25.
14.	Iaccarino MA, Bhatnagar S, Zafonte R. Rehabilitation after traumatic brain injury. Handb Clin Neurol, 2015, 127: 411-422.
15.	馬丹, 袁嵐. 系統呼吸訓練在食管癌患者圍術期的應用. 華西醫學, 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. 張恒, 王軍, 仇波, 等. 集束化方案治療急性腦損傷合并急性肺損傷/急性呼吸窘迫綜合征療效分析. 中國醫科大學學報, 2017, 4 (46): 317-320.
3. 宋偉正, 劉家剛, 蔡萍. 去大骨瓣減壓術在治療重型顱腦損傷中的應用及療效分析. 華西醫學, 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. 羅昌彬, 曹靈紅, 楊呈浩. 高壓氧與尼莫地平聯合治療顱腦損傷所致腦功能障礙的療效研究. 華西醫學, 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, 陳春陽. 重型顱腦損傷后二次腦損傷相關因素臨床分析. 當代醫學, 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. 不同吸痰方法對重型顱腦損傷患者氣管切開早期肺通氣功能及肺部感染的影響. 中國處方藥, 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. 早期康復護理干預對重型顱腦損傷術后偏癱肢體康復效果的影響. 河北醫學, 2013, 19(5): 768-771.
12. 欽卓輝, 張健杰, 司徒潔, 等. 呼吸功能訓練對塵肺患者肺功能的影響. 華西醫學, 2014, 29(6): 1071-1073.
13. 王冠, 龐亮亮, 夏婷, 等. 呼吸訓練器在 COPD 患者縮唇腹式呼吸訓練中的應用. 現代臨床護理, 2015(11): 22-25.
14. Iaccarino MA, Bhatnagar S, Zafonte R. Rehabilitation after traumatic brain injury. Handb Clin Neurol, 2015, 127: 411-422.
15. 馬丹, 袁嵐. 系統呼吸訓練在食管癌患者圍術期的應用. 華西醫學, 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

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