关于脑卒中后上肢运动与肺功能康复有交叉促进作用的综述

佳丽 林(福建中医药大学，中国)
杰 贾(复旦大学附属华山医院，中国)

摘要

脑卒中是全球常见的死亡原因，常见功能障碍包括上肢运动受损和肺功能下降。上肢运动通路和呼吸中枢受损导致肺容量下降、咳嗽效能降低、呼吸肌肌力下降、肺缺血再灌注损伤、肺顺应性下降等。肺功能训练包括持续正压通气、胸廓扩张度训练、上肢联合肺功能运动训练、呼吸肌肌力等。其中，上肢联合肺功能运动训练利于系统化、全面性的机体功能恢复，二者有交叉促进的治疗效果。

关键词

肺功能康复；上肢运动；呼吸功能障碍；上肢运动功能；脑卒中

参考

Wang W , Jiang B , Sun H , et al. Prevalence, Incidence, and Mortality of Stroke in China[J]. Circulation, 2017, 135(8):759.

Alshaer H , Pandya A , Zivanovic I , et al. The effect of continuouspositive airway pressure on spectral encephalogram characteristics in stroke patients with obstructive sleep apnea. Respiratory Physiology & Neurobiology, 2018, 249:62-68

Austin V , Crack P J , Bozinovski S , et al. COPD and stroke: are systemic inflammation and oxidative stress the missing links. Clinical

Science , 2016, 130(13):1039-1050.

Lekoubou A , Ovbiagele B . Prevalence and influence of chronic obstructive pulmonary disease on stroke outcomes in hospitalized stroke patients.eNeurologicalSci, 2017, 6:21-24.

Brill A K , Horvath T , Seiler A , et al. CPAP as treatment of sleep apnea after stroke: A meta-analysis of randomized trials[J]. Neurology, 2018, 90(14):10.

DOI: http://dx.doi.org/10.26549/yzlcyxzz.v2i5.2856