Effect Of Liuzijue On Respiratory Function In Patients With Hemorrhagic Stroke

ObjectiveObserving the effect of Liuzijue on respiratory function and neurological deficits in patients with hemorrhagic stroke,with a view to improving the patient’s respiratory function,reducing the incidence of pulmonary infection,improving the patient’s neurological deficit,and enriching respiratory rehabilitation training for patients with hemorrhagic stroke project.Methods84 patients with hemorrhagic stroke that met the inclusion criteria were randomly divided into a test group of 42 cases and a control group of 42 cases.The control group was given routine treatment and nursing.On the basis of this,the test group was given Liuzijue breath training and Liuzijue.The breathing training time is 30 minutes,the training frequency is 1time/day,5 times/week,a total of 12 weeks of intervention,and the effect evaluation is performed before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.Specific evaluation content:(1)Lung ventilation function:force expiratory volume in 1 second(FEV_l)、forced vital capacity(FVC)、maximum voluntary ventilation(MVV)、peak expiratory flow(PEF);(2)Respiratory muscle strength:maximum inspiratory pressure(MIP)、maximum expiratorypressure(MEP);(3)Neurological deficit:National Institute of Health Stroke Scale(NIHSS);(4)Number of cases of pulmonary infection:record the number of cases of pulmonary infection between two groups of patients before and after intervention.(5)Number of recurrent stroke cases:record the number of recurrent stroke cases in the two groups before and after the intervention.Results1.Comparison of baseline dataWhen the study subjects were enrolled,there was no statistically significant difference in gender,age,course of disease,education,smoking status,muscle strength and amount of bleeding.There was comparability(P>0.05),indicating that the general data of the two groups of patients were comparable.Before intervention,there was no statistically significant difference in the scores of lung ventilation function,respiratory muscle strength and neurological deficit(P>0.05)between the two groups,which was comparable.2.Lung ventilation functionFEV_l:(1)Comparison within the group:The comparison between the two groups of patients after 4 weeks of intervention and before the intervention,FEV_l has improved significantly,the difference is statistically significant(P=0.000,P=0.000).Compared between the two groups of patients after 12 weeks of intervention and after4 weeks of intervention,FEV_l improved significantly,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated analysis of variance was used to compare the FEV_l of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of the time factor on FEV_l of the two groups of patients was statistically significant(P=0.000),the main effects of the intervention factors were statistically different(P=0.043),and the interaction between group and time was not statistically significant(P=0.262).FVC:(1)Comparison within the group:Compared between the two groups of patients after4 weeks of intervention and before intervention,FVC has improved significantly,and the difference is statistically significant(P=0.000,P=0.000).The comparison between the two groups of patients after 12 weeks of intervention and after 4 weeks of intervention showed a significant improvement in FVC,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated analysis of variance was used to compare the FVC of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of the time factor of FVC in the two groups was statistically significant(P=0.000),The main effects of intervention factors are statistically different(P=0.027),and the interaction between group and time is not statistically significant(P=0.127).MVV:(1)Comparison within the group:After 4 weeks of intervention and before intervention,the MVV of the two groups was significantly improved,and the difference was statistically significant(P=0.000,P=0.000).The comparison between the two groups of patients after 12 weeks of intervention and after 4 weeks of intervention showed that MVV improved significantly,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated measurement analysis of variance was used to compare the MVV of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of the time factor of MVV in the two groups of patients was statistically significant(P=0.000),The main effects of the intervention factors were statistically different(P=0.048),and the interaction between group and time was statistically significant(P=0.012).PEF:(1)Comparison within the group:The comparison between the two groups of patients after 4 weeks of intervention and before the intervention,the PEF has improved significantly,the difference is statistically significant(P=0.000,P=0.000).The comparison between the two groups of patients after 12 weeks of intervention and after 4 weeks of intervention showed a significant improvement in PEF,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated measurement analysis of variance was used to compare the PEF of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of PEF time factors in the two groups of patients was statistically significant(P=0.000),The main effects of intervention factors are statistically different(P=0.044),and the interaction between group and time is not statistically significant(P=0.616).3.Respiratory muscle strengthMIP:(1)Comparison within the group:Compared between the two groups of patients after4 weeks of intervention and before intervention,MIP has improved significantly,and the difference is statistically significant(P=0.000,P=0.000).Compared between the two groups of patients after 12 weeks of intervention and after 4 weeks of intervention,the MIP improved significantly,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated analysis of variance was used to compare the PEF of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of the time factor of MIP in the two groups of patients was statistically significant(P=0.000),The main effects of intervention factors are statistically different(P=0.016),and the interaction between group and time is statistically significant(P=0.004).MEP:(1)Comparison within the group:The comparison between the two groups of patients after 4 weeks of intervention and before the intervention showed that the MEP was significantly improved,and the difference was statistically significant(P=0.000,P=0.000).The comparison between the two groups of patients after 12 weeks of intervention and 4 weeks of intervention showed that the MEP improved significantly,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated analysis of variance was used to compare the PEF of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of the time factor of MEP in the two groups of patients was statistically significant(P=0.000),The main effects of the intervention factors were statistically different(P=0.041),and the interaction between groups and time was not statistically significant(P=0.138).4.Neurological deficit:(1)Comparison within the group:After 4 weeks of intervention and before intervention,the NIHSS scores of the two groups were significantly improved,and the difference was statistically significant(P=0.000,P=0.000).After 12 weeks of intervention and4 weeks of intervention,the NIHSS score of the two groups of patients improved significantly,and the difference was statistically significant(P=0.000,P=0.000).(2)Comparison between groups:Repeated measurement analysis of variance was used to compare the NIHSS scores of the two groups of patients before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.The main effect of the time factor on the NIHSS score of the two groups of patients was statistically significant(P=0.000),the main effects of intervention factors were not statistically different(P=0.533),and the interaction between group and time was statistically significant(P=0.028).5.Number of cases of pulmonary infection:at the end of the intervention follow-up,there was no statistically significant difference between the experimental group and the control group in cases of pulmonary infection(P=0.734).6.Number of recurrent stroke cases:after the intervention follow-up,there was no statistically significant difference between the experimental group and the control groupor recurrent stroke cases(P=0.252).Conclusion1.Liuzijue can improve the lung ventilation function in patients with hemorrhagic stroke.2.Liuzijue can enhance the respiratory muscle strength of patients with hemorrhagic stroke.3.Liuzijue has a certain effect on improving neurological deficits in patients with hemorrhagic stroke.