تأثیر تمرینات تنفسی بر گازهای خون شریانی و شب ادراری در کودکان مبتلا به اختلال خواب مرتبط با تنفس

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 استادیار، گروه روان‌شناسی، دانشگاه آزاد اسلامی، واحد نایین، اصفهان، ایران

2 استاد، گروه کودکان، دانشکده‌ی پزشکی و مرکز تحقیقات رشد و نمو کودکان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: اختلال در عملکرد تنفس طبیعی بر شب ادراری کودکان تأثیرگذار می‌باشد؛ هدف از مطالعه‌ی حاضر، ارزیابی تأثیر تمرینات تنفسی بر گازهای خون و شب ادراری کودکان مبتلا به اختلال تنفسی بود.روش‌ها: مطالعه‌ی حاضر یک طرح نیمه‌تجربی همراه با گروه شاهد بود که با هدف بررسی تأثیر تمرینات تنفسی بر شب ادراری کودکان مبتلا به اختلال خواب مرتبط با تنفس، در بین مراجعه کنندگان به یکی از مطب‌های اورولوژی شهر اصفهان (1390)، انجام شد. آزمودنی‌ها بر اساس ملاک‌های شب ادراری بر اساس DSM-IV-TR، داشتن تنفس دهانی و خرخر شبانه و بودن در دامنه‌ی سنی 12-6 سال وارد مطالعه شده، به صورت تصادفی، در دو گروه آزمایش (20 نفر) و شاهد (20 نفر) قرار گرفتند. قبل از مداخله، دفعات شب ادراری، تعداد تنفس و گازهای خون شریانی ثبت گردید. سپس، تمرینات تنفسی به مدت چهار هفته قبل از خواب انجام گرفت. دفعات شب ادراری و تعداد تنفس بیماران حین مداخله، بعد از هر تمرین، ثبت گردید و با اتمام مداخله‌ی تنفسی، گازهای خون شریانی اندازه‌گیری شد. داده‌های مطالعه با استفاده از آزمون‌های Independent-t، Paired-t، تحلیل کواریانس با اندازه‌های مکرر، Mann-Whitney U و Wilcoxon انجام شد.یافته‌ها: بعد از مداخله، میزان اشباع اکسیژن (O2 Sat) و فشار سهمی آن (PaO2) در گروه آزمایش بیشتر از گروه شاهد بود (001/0 > P). میانگین فشار سهمی دی‌اکسید کربن (PaCO2) و تعداد تنفس در گروه شاهد بیشتر از گروه آزمایش بود (001/0 > P). همچنین، بعد از مداخله دفعات شب ادراری گروه آزمایش کمتر از گروه شاهد بود (050/0 > P).نتیجه‌گیری: تمرینات تنفسی اکسیژن خون شریانی را افزایش و دفعات شب ادراری را در کودکان مبتلا به اختلال تنفسی کاهش می‌دهد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Breathing Exercises on Arterial Blood Gases and Enuresis in Children with Sleep-Disordered Breathing

نویسندگان [English]

  • Shahnaz Khaleghipour 1
  • Roya Kelishadi 2
1 Assistant Professor, Department of Psychology, Islamic Azad University, Naein Branch, Isfahan, Iran
2 Professor, Department of Pediatrics, School of Medicine AND Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Dysfunction in normal breathing affects the enuresis in children. The aim of this study was to investigate the effects of breathing exercises on arterial blood gases and enuresis in children suffered from the sleep-disordered breathing.Methods: This study was conducted in the year of 2011, by a semi-experimental design with the control group, among 40 children aged 6-12 years. Subjects were selected based on the criteria of mouth breathing and enuresis; they had sleep-disordered breathing and were referred to the urologist's office affiliated to the Isfahan University of Medical Sciences, Iran. Participants were examined based on the criteria of nocturnal enuresis, oral breathing, and nocturnal snoring. Subsequently, they were randomly assigned to the case and control groups. In the case group, the breathing exercises were performed for 45 minutes for four weeks in prior to sleeping. Subsequently, the arterial blood gases were measured and the frequency of enuresis and the respiratory rates (RR) were recorded. Data were analyzed using repeated measurements of ANOVA, paired-t, independent-t, Wilcoxon signed-rank, and Mann-Whiney U tests.Findings: After intervention, O2 saturation and PaO2 were higher (P < 0.001) and RR and PaCO2 were lower in the case group (P < 0.001). The enuresis decreased significantly in the case group, too (P < 0.001).Conclusion: This study suggests that the breathing exercises may increase arterial oxygen and reduce the frequency of enuresis in the patients with the oral breathing and nocturnal snore.

کلیدواژه‌ها [English]

  • Breathing exercises
  • Enuresis
  • Sleep-disordered breathing
  • Arterial blood gases

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مجله دانشکده پزشکی اصفهان
دوره 31، شماره 235 - شماره پیاپی 235
خرداد و تیر 1392
صفحه 611-618

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سابقه مقاله

  • تاریخ دریافت: 03 آذر 1391
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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