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目的:探讨水疗配合呼吸训练对胸腰段脊髓损伤患者肺功能及活动能力的影响。方法:选取2018年4月至2020年3月首都医科大学附属北京康复医院收治的80例胸腰段脊髓损伤患者作为观察对象。采取前瞻性队列研究，应用计算机随机数字法分为观察组和对照组，每组40例。对照组给予常规康复疗法联合呼吸训练。在对照组的基础上，观察组加用水疗法。比较两组肺功能指标、运动功能及下肢肌张力、功能评定、日常生活能力的差异。结果:干预后，观察组用力肺活量(forced vital capacity，FVC)为(3.86±0.82)L、第一秒用力呼气量(forced expiratory volume in the first second，FEV1)为(3.76±0.68) L、最大通气量(maximum ventilation，MVV)为(102.34±10.38) L/min、最大吸气压(maximum suction pressure，MIP)为(50.36±4.62) cmHn 2O(1 cmHn 2O＝0.7355 mmHg)；对照组FVC为(3.41±0.76) L，FEV1为(3.35±0.63) L，MVV为(90.67±11.68) L/min、MIP为(44.38±4.85) cmHn 2O，两组比较差异有统计学意义(n t＝2.546、n t＝2.797、n t＝4.723、n t＝5.646，n P均<0.05)。干预后，观察组根据美国脊柱损伤协会(american spinal injury association，ASIA)的运动功能评分为(58.62±7.56)分，Ashworth痉挛评定量表(modified ashworth scale，MAS)评分为(2.74±0.89)分；对照组ASIA运动功能评分为(42.24±6.40)分，MAS评分为(3.36±0.94)分，两组比较差异有统计学意义(n t＝10.459、n t＝3.029，n P均<0.05)。干预后，观察组脊髓独立测量量表第Ⅲ版(spinal cord independence measure Ⅲ，SCIM Ⅲ)评分为(75.33±10.72)分，改良Barthel指数(modified barthel index，MBI)为(66.64±6.34)分；对照组SCIM Ⅲ评分为(68.34±9.55)分，MBI评分为(57.52±6.77)分，两组比较差异具有统计学意义(n t＝3.079、n t＝6.219，n P均<0.05)。n 结论:水疗配合呼吸训练可有效改善胸腰段脊髓损伤患者肺功能及呼吸肌肌力，提高运动功能及日常生活能力。“,”Objective:To explore the effect of hydrotherapy combined with breathing training on lung function and mobility of patients with thoracolumbar spinal cord injury.Methods:A total of 80 patients with thoracolumbar spinal cord injury admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University from April 2018 to March 2020 were selected as observation objects.A prospective cohort study was conducted and randomly divided into observation group and control group with 40 cases in each group.The control group was given routine rehabilitation therapy combined with respiratory training.On the basis of the control group, the observation group was treated with water therapy.The indexes of lung function, motor function, lower limb muscle tension, function evaluation and activities of daily living were compared between the two groups.Results:After intervention, the observation group′s forced vital capacity (FVC) was (3.86±0.82) L, the forced expiratory volume in the first second (FEV1) was (3.76±0.68) L, the maximum ventilation (MVV) was (102.34±10.38) L/min, the maximum suction pressure (MIP) is (50.36±4.62) cmHn 2O; the control group FVC was (3.41±0.76) L, and FEV1 was ( 3.35±0.63) L, MVV was (90.67±11.68) L/min, MIP was (44.38±4.85) cmHn 2O, the difference between the two groups is statistically significant (n t=2.546, 2.797, 4.723, 5.646, respectively, all n P<0.05). After the intervention, the motor function score of the american spinal injury association (ASIA) of the observation group was (58.62±7.56) points, and the modified ashworth scale (MAS) score was (2.74±0.89) points; The ASIA motor function score of the control group was (42.24±6.40) points, and the MAS score was (3.36±0.94) points.The difference between the two groups was statistically significant (n t=10.459 and -3.029, respectively, all n P<0.05). After intervention, the observation group′s spinal cord independence measure (SCIM III) score was (75.33±10.72) points, and the modified barthel index (MBI) was (66.64±6.34) points; the SCIM III score of the control group was (68.34±9.55) points, and the MBI score was (57.52±6.77) points, the difference between the two groups was statistically significant (n t=3.079 and 6.219, respectively, all n P<0.05).n Conclusion:Hydrotherapy combined with breathing training can significantly improve lung function and respiratory muscle strength in patients with thoracolumbar spinal cord injury, and improve motor function and ability of daily living.