Objective To analyze the effect of breathing training in the prevention of lung infection in the patients after the stroke. Methods 80 patients after the stroke in Donghu Outpatient of Hainan Provincial Nongken General Hospital from January 2011 to January 2013 were divided into observation group and control group. The control group was used conventional treatments and nursing plan and the observation group was additional used breathing training after the stroke. The difference of lung function, the level of inflammatory factor and the results of sputum culture between the two groups were compared. Results The levels of FEV1, FVC and IL-2 in the observation group were (45.98±4.37)%, (69.38±4.72)% and (8.31±2.17) pg/mL, which were higher than those in the control group [(36.58±6.52)%, (60.54±4.30)%, (3.84±1.10) pg/mL], there were statistically significant differences between two groups (all P < 0.05). The number of WBC in the observation group was (8.38±3.39)í108/L, and the CRP and IL-6 levels of the observation group were (58.49±12.10) mg/L and (21.19±4.39) pg/mL, which were less than those in the control group [(12.01±4.30)í108/L, (88.38±15.48) mg/L, (27.91±5.48) pg/mL], there were statistically significant differences between two groups (all P<0.05). The positive rate of sputum culture in the observation group was 2.50%, which was lower than that in the control group (20.00%). Conclusion It has a satisfactory effect to use breathing training in the prevention of lung infection in the patients after the stroke, with better lung function and anti-inflammatory ability.%目的：探讨呼吸训练对脑卒中后卧床患者肺部感染的效果。方法选择海南省农垦总医院东湖门诊康复科2011年1月~2013年1月收治的脑卒中患者80例为研究对象，将其分为观察组与对照组，所有患者均行基础治疗与护理，观察组增加呼吸训练项目。比较两组患者治疗前后肺功能、炎症因子水平及痰液培养情况的差异。结果治疗后，观察组患者一秒用力呼气容积、用力肺活量和白介素2分别为(45.98±4.37)%、(69.38±4.72)%和(8.31±2.17)pg/mL，对照组分别为(36.58±6.52)%、(60.54±4.30)%和(3.84±1.10)pg/mL，观察组显著高于对照组，差异均有统计学意义(均P<0.05)。观察组白细胞水平、C反应蛋白和白介素6水平分别为(8.38±3.39)×108/L、(58.49±12.10)mg/L和(21.19±4.39)pg/mL，对照组分别为(12.01±4.30)×108/L、(88.38±15.48)mg/L和(27.91±5.48)pg/mL，观察组显著低于对照组，差异均有统计学意义(均P<0.05)。观察组痰培养阳性率为2.50%，显著低于对照组(20.00%)，差异有统计学意义(P<0.05)。结论呼吸训练可以对脑卒中后卧床患者肺部感染的预防起到积极作用，其可改善患者肺功能，提高患者体内抗炎能力。
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