吸氣肌肉訓練對呼吸器依賴患者脫離之成效

Effects of Inspiratory Muscle Training on Weaning in Ventilator-Dependent Patients

胡淑琴(Shu-Chin Hu) ； 李茹萍(Ru-Ping Lee)

《台灣醫學》 10卷5期 (2006/09) Pp. 586-594

https://doi.org/10.6320/FJM.2006.10(5).04

摘要

The purpose of this study was to investigate the effects of pressure threshold inspiratory muscle trainer on inspiratory muscle strength, endurance and weaning rate of ventilator-dependent patients. We conducted an intervention-based study at a regional hospital in Eastern Taiwan. A training program was designed to improve the strength and endurance of the inspiratory muscle, with an aim to assist weaning from the ventilator. Thirty subjects included patients with tracheostomy who were dependent on mechanical ventilators without other medical complications were recruited. The study subjects were then randomly assigned to either intervention or control groups. The duration of the training protocol was four weeks. The data showed that significant improvement of maximal peak inspiratory pressure and inspiratory muscle endurance (p＜.05) in the intervention group. There was no statistically significant difference in the weaning rate between these two groups. This article provided more information to health professionals for weaning management of ventilator-dependent patients.

關鍵字

閾值負荷型訓練 ； 最大吸氣壓 ； 吸氣肌耐力 ； 呼吸器脫離成功率

並列摘要

The purpose of this study was to investigate the effects of pressure threshold inspiratory muscle trainer on inspiratory muscle strength, endurance and weaning rate of ventilator-dependent patients. We conducted an intervention-based study at a regional hospital in Eastern Taiwan. A training program was designed to improve the strength and endurance of the inspiratory muscle, with an aim to assist weaning from the ventilator. Thirty subjects included patients with tracheostomy who were dependent on mechanical ventilators without other medical complications were recruited. The study subjects were then randomly assigned to either intervention or control groups. The duration of the training protocol was four weeks. The data showed that significant improvement of maximal peak inspiratory pressure and inspiratory muscle endurance (p＜.05) in the intervention group. There was no statistically significant difference in the weaning rate between these two groups. This article provided more information to health professionals for weaning management of ventilator-dependent patients.

並列關鍵字

pressure threshold inspiratory muscle training ； Pimax ； inspiratory muscle endurance ； mechanical ventilator weaning rate