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激励肺活量计与吸气肌训练

Incentive Spirometer and Inspiratory Muscle Training

作者信息

Franklin Emily, Anjum Fatima

机构信息

Ballad Health

Temple University, Lewis Katz School of Medicine

PMID:34283480
Abstract

An incentive spirometer is a device that measures the volume of the air inhaled into the lungs during inspiration. When breathing in through an incentive spirometer, a piston rises inside the device and measures the volume of the inspired air. The incentive spirometry device is widely used in physical, speech, and respiratory therapy as it encourages the patient to perform a slow and deep inspiration through visual feedback. Breathing in slowly is important with spirometer use as it allows the lungs to stretch and opens the airways, which is intended to imitate the deep breathing seen in yawning or sighing.  The incentive spirometer uses visual feedback to assess a patient's inspiratory effort by measuring the inhalation volume. The incentive spirometer can be used in rehabilitation as a favorable tool, as it is inexpensive and easy to manage with no known side effects. It is simple to train and does not require assistance once a patient has learned how to use it properly. Furthermore, the visual feedback encourages patient compliance.  The use of the incentive spirometer in inspiratory muscle training has been shown to maintain or increase inhaled lung volume, prevent lung infection after surgery, and improve sputum expectoration. Although research on the effectiveness of incentive spirometry for chronic conditions is mixed, inspiratory muscle training is a vital factor in reducing or preventing postoperative pulmonary complications. Using an incentive spirometer following surgery can help preserve the lungs' integrity and keep the lungs clear. Deep breathing supports the movement of secretions and assists in opening lung spaces that may have become collapsed. Inspiratory muscle training stretches and exercises the lungs, keeping them engaged, especially while recovering from surgery.

摘要

激励肺活量计是一种测量吸气过程中吸入肺部空气量的装置。通过激励肺活量计吸气时,装置内部的活塞会上升并测量吸入空气的量。激励肺活量计装置在物理治疗、言语治疗和呼吸治疗中广泛使用,因为它通过视觉反馈鼓励患者进行缓慢而深入的吸气。使用肺活量计时缓慢吸气很重要,因为这能使肺部伸展并打开气道,旨在模仿打哈欠或叹气时的深呼吸。激励肺活量计利用视觉反馈通过测量吸气量来评估患者的吸气努力程度。激励肺活量计可作为一种有益工具用于康复治疗,因为它价格低廉且易于管理,没有已知的副作用。它易于培训,患者一旦学会正确使用方法就无需他人协助。此外,视觉反馈能促使患者配合。在吸气肌训练中使用激励肺活量计已被证明可维持或增加吸入肺容量、预防术后肺部感染并改善痰液咳出。尽管关于激励肺活量计对慢性病有效性的研究结果不一,但吸气肌训练是减少或预防术后肺部并发症的重要因素。术后使用激励肺活量计有助于保持肺部的完整性并使肺部保持通畅。深呼吸有助于分泌物的移动,并有助于打开可能已塌陷的肺间隙。吸气肌训练可伸展和锻炼肺部,使其保持活跃,尤其是在术后恢复期间。