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盆底肌联合肺康复训练对老年股骨粗隆间骨折术后患者肺功能的影响：一项随机对照试验

Effect of pelvic floor muscle combined with pulmonary rehabilitation training on lung function in elderly patients after surgery for intertrochanteric fractures of the femur: a randomized controlled trial.

作者信息

Ji Dongqi, Fu Yanxin, Wu Liang, Tian Chunyan, Jin Shasha

机构信息

Beijing Xiaotangshan Hospital, Beijing, China.

Tianjin Key Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise & Health, Tianjin University of Sport, Tianjin, China.

出版信息

Eur J Med Res. 2025 May 14;30(1):381. doi: 10.1186/s40001-025-02610-7.

DOI:10.1186/s40001-025-02610-7
PMID:40369675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12076919/
Abstract

OBJECTIVE: To explore the effects of pelvic floor muscle (PFM) combined with pulmonary rehabilitation training on diaphragm function and lung function in elderly patients with intertrochanteric fracture. METHODS: This study was conducted by a randomized controlled single-blind method, 50 elderly patients with intertrochanteric fracture in Beijing Xiaotangshan Hospital were selected and divided into the combined training group (Experimental group, n = 25) and the lung function training group (Control group, n = 25) by the random number table method. Patients in the combined training group received pelvic floor muscle training combined with lung rehabilitation training, and patients in the lung function training group received lung rehabilitation training. Forced vital capacity (FVC), forced expiratory volume in the first second/FVC (FEV1/FVC) and peak expiratory flow (PEF) were evaluated before and after intervention to analyze the improvement of lung function. Diaphragm thickening fraction (DTF) and diaphragm excursion (DE) were used to observe the improvement of diaphragm function. RESULTS: After 4 weeks of intervention, there were significant differences in lung function and diaphragm function between the two groups compared with the improvement before the intervention, but patients in the combined training group had more significant improvements in FVC, FEV1/FVC, PEF, DTF, and DE. CONCLUSION: Pelvic floor muscle combined with lung function training can improve the diaphragm function more significantly in elderly patients with intertrochanteric fracture after operation, and thus affect the lung function of patients.

摘要

目的：探讨盆底肌（PFM）联合肺康复训练对老年股骨转子间骨折患者膈肌功能及肺功能的影响。 方法：本研究采用随机对照单盲法，选取北京小汤山医院50例老年股骨转子间骨折患者，通过随机数字表法分为联合训练组（实验组，n = 25）和肺功能训练组（对照组，n = 25）。联合训练组患者接受盆底肌训练联合肺康复训练，肺功能训练组患者接受肺康复训练。干预前后评估用力肺活量（FVC）、第1秒用力呼气容积/用力肺活量（FEV1/FVC）和呼气峰值流速（PEF），分析肺功能的改善情况。采用膈肌增厚分数（DTF）和膈肌移动度（DE）观察膈肌功能的改善情况。 结果：干预4周后，两组肺功能和膈肌功能较干预前均有明显改善，但联合训练组患者FVC、FEV1/FVC、PEF、DTF和DE改善更显著。 结论：盆底肌联合肺功能训练能更显著改善老年股骨转子间骨折术后患者的膈肌功能，进而影响患者的肺功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3f/12076919/c5f3573b6db3/40001_2025_2610_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3f/12076919/c593b80421b8/40001_2025_2610_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3f/12076919/c5f3573b6db3/40001_2025_2610_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3f/12076919/c593b80421b8/40001_2025_2610_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3f/12076919/c5f3573b6db3/40001_2025_2610_Fig2_HTML.jpg

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Effect of pelvic floor muscle combined with pulmonary rehabilitation training on lung function in elderly patients after surgery for intertrochanteric fractures of the femur: a randomized controlled trial.

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本文引用的文献

[1]
Ultrasonographic modeling of lung and diaphragm mechanics: clinical trial of a novel non-invasive method to evaluate pre-operative pulmonary function.

PeerJ. 2024-12-19

[2]
Reconstruction of unfixable comminuted posterior wall acetabular fractures with autologous bone graft: A systematic review.

J Orthop. 2024-10-24

[3]
Comparison of surgical outcomes for hip fracture between older patients with and without cancer: a propensity score matching analysis.

Sci Rep. 2024-3-5

[4]
Clinical characteristics of elderly hip fracture patients with chronic cerebrovascular disease and construction of a clinical predictive model for perioperative pneumonia.

Orthop Traumatol Surg Res. 2024-5

[5]
Global Epidemiology of Hip Fractures: Secular Trends in Incidence Rate, Post-Fracture Treatment, and All-Cause Mortality.

J Bone Miner Res. 2023-8

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Incidence and risk factors for postoperative nosocomial pneumonia in elderly patients with hip fractures: A single-center study.

Front Surg. 2023-2-7

[7]
Efficacy of Kegel exercises combined with electrical stimulation on the restoration of postpartum pelvic floor muscle function.

Am J Transl Res. 2023-1-15

[8]
Impact of Urinary Incontinence on Physical Function and Respiratory Muscle Strength in Incontinent Women: A Comparative Study between Urinary Incontinent and Apparently Healthy Women.

J Clin Med. 2022-12-10

[9]
Exploration of Dark Chemical Genomics Space via Portal Learning: Applied to Targeting the Undruggable Genome and COVID-19 Anti-Infective Polypharmacology.

Res Sq. 2021-12-1

[10]
Ultrasound and non-ultrasound imaging techniques in the assessment of diaphragmatic dysfunction.

BMC Pulm Med. 2021-3-15

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