[External diaphragm pacemaker combined with respiratory muscle training for pneumoconiosis with nonspecific low back pain: a randomized controlled trial].

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	[External diaphragm pacemaker combined with respiratory muscle training for pneumoconiosis with nonspecific low back pain: a randomized controlled trial].
Συγγραφείς:	Fan F; Department of Rehabilitation Medicine, Tianjin Occupational Disease Prevention and Control Hospital (Tianjin Worker's Hospital), Tianjin 300011, China Tianjin Occupational Musculoskeletal Health Guidance Center, Tianjin 300011, China., Wang LN; Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China., Lin Q; Department of Rehabilitation Medicine, Tianjin Occupational Disease Prevention and Control Hospital (Tianjin Worker's Hospital), Tianjin 300011, China., Gao ZS; Department of Rehabilitation Medicine, Tianjin Occupational Disease Prevention and Control Hospital (Tianjin Worker's Hospital), Tianjin 300011, China., Huang H; Department of Rehabilitation Medicine, Tianjin Occupational Disease Prevention and Control Hospital (Tianjin Worker's Hospital), Tianjin 300011, China., Duan RY; Department of Rehabilitation Medicine, Tianjin Occupational Disease Prevention and Control Hospital (Tianjin Worker's Hospital), Tianjin 300011, China., Huang T; Department of Rehabilitation Medicine, Tianjin Occupational Disease Prevention and Control Hospital (Tianjin Worker's Hospital), Tianjin 300011, China.
Πηγή:	Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases [Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi] 2026 Aug 20; Vol. 44 (8), pp. 659-665.
Τύπος έκδοσης:	Journal Article; Randomized Controlled Trial; English Abstract
Γλώσσα:	Chinese
Στοιχεία περιοδικού:	Publisher: Tianjin shi lao dong wei sheng yan jiu suo ; Tianjin shi lao dong wei sheng huan jing yi xue hui Country of Publication: China NLM ID: 8410840 Publication Model: Print Cited Medium: Print ISSN: 1001-9391 (Print) Linking ISSN: 10019391 NLM ISO Abbreviation: Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi Subsets: MEDLINE
Imprint Name(s):	Original Publication: [Tientsin] : Tianjin shi lao dong wei sheng yan jiu suo ; Tianjin shi lao dong wei sheng huan jing yi xue hui, [1983-
Ιατρικοί όροι (MeSH):	Low Back Pain/rehabilitation , Low Back Pain/therapy , Pneumoconiosis/rehabilitation , Pneumoconiosis/therapy , Breathing Exercises* , Pacemaker, Artificial*, Humans ; Male ; Female ; Middle Aged ; Respiratory Muscles ; Diaphragm
Περίληψη:	Objective: To investigate the rehabilitation efficacy of respiratory muscle training combined with external diaphragm pacemaker (EDP) in patients with pneumoconiosis complicated with nonspecific low back pain (NSLBP) . Methods: A total of 30 patients with pneumoconiosis and NSLBP treated at Tianjin Occupational Diseases Prevention and Control Hospital from October 2022 to December 2024 were enrolled and randomly divided into an experimental group and a control group using a random number table method, with 15 patients in each group. Both groups received respiratory muscle training and conventional rehabilitation treatment, while the experimental group additionally received EDP therapy. Outcome measures, including pulse oxygen saturation (SpO(2)), the modified Medical Research Council Dyspnea Scale (mMRC), the 6-minute walk test (6MWT), the Visual Analogue Scale (VAS), and the Roland-Morris Disability Questionnaire (RMDQ), were assessed before treatment, at 7 days, and at 14 days of treatment. Statistical analysis was performed on the data. Results: At 7 days of treatment, both groups showed significant improvements in SpO(2), mMRC score, 6MWT, VAS score, and RMDQ score compared with baseline (P<0.05), but there were no significant differences between the two groups in mMRC score, 6MWT, or RMDQ score (all P>0.05). At 14 days of treatment, the experimental group showed significantly greater improvements than the control group in SpO(2)[ (97.07±0.80) % vs. (94.93±1.16) %, P<0.05], mMRC score[ (1.20±0.41) points vs. (1.93±0.70) points, P<0.05], 6MWT [ (395.80±30.60) m vs. (343.53±35.46) m, P<0.05], VAS score [ (1.73±0.59) points vs. (3.47±0.74) points, P<0.05], and RMDQ score [ (4.13±0.64) points vs. (6.27±1.16) points, P<0.05]. Repeated-measures analysis of variance showed that the interaction effects for all indicators were statistically significant (all P<0.05) . Conclusion: Respiratory muscle training combined with EDP can effectively improve SpO(2), alleviate dyspnea, increase walking distance, relieve pain, and improve lumbar function in patients with pneumoconiosis complicated with NSLBP.
Competing Interests:	所有作者均声明不存在利益冲突
Grant Information:	TJWJ2025MS049 Supported by Tianjin Health Research Project
Contributed Indexing:	Keywords: Breathing exercises; Diaphragm pacemaker; Low back pain; Pneumoconiosis; Rehabilitation Local Abstract: [Publisher, Chinese] 目的：探讨呼吸肌训练联合体外膈肌起搏器（EDP）对尘肺病伴非特异性腰痛（NSLBP）的康复疗效。方法：选取2022年10月至2024年12月在天津市职业病防治院就诊的尘肺病伴NSLBP患者30例，采用随机数字表法分为试验组和对照组，每组15例。两组均接受呼吸肌训练及常规康复治疗，试验组在此基础上联合EDP治疗。于治疗前、治疗7 d及治疗14 d时，采用血氧饱和度（SpO(2)）、改良版《英国医学研究委员会呼吸困难量表》（mMRC）、6分钟步行试验（6MWT）、视觉模拟评分（VAS）及《罗兰-莫里斯功能障碍问卷》（RMDQ）进行疗效评定，并对数据进行统计学分析。结果：治疗7 d时，两组患者SpO(2)、mMRC得分、6MWT、VAS得分、RMDQ得分均较治疗前改善（P<0.05），但mMRC得分、6MWT、RMDQ得分的组间差异均无统计学意义（P>0.05）。治疗14 d时，与对照组比较[分别为（94.93±1.16）%、（1.93±0.70）分、（343.53±35.46）m、（3.47±0.74）分、（6.27±1.16）分]，试验组SpO(2)[（97.07±0.80）%]、mMRC得分[（1.20±0.41）分]、6MWT [（395.80±30.60）m]、VAS得分[（1.73±0.59）分]、RMDQ得分[（4.13±0.64）分]的改善程度更好，差异有统计学意义（P<0.05）。重复测量方差分析显示，各指标的交互效应均有统计学意义（P<0.05）。结论：呼吸肌训练联合EDP可有效改善尘肺病伴NSLBP患者的SpO(2)、减轻呼吸困难程度、增加步行距离、缓解疼痛、改善腰部功能。.
Entry Date(s):	Date Created: 20260907 Date Completed: 20260907 Latest Revision: 20260915
Update Code:	20260915
DOI:	10.3760/cma.j.cn121094-20250826-00340
PMID:	42706016
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1001-9391
DOI:	10.3760/cma.j.cn121094-20250826-00340