背景:难治性支原体肺炎会损害肺功能，需要辅助医疗物理治疗。本研究旨在探讨有趣的呼吸康复训练对难治性支原体肺炎患儿肺功能的影响。 方法:选取我院2020年1月至2021年2月间确诊为难治性支原体肺炎的76名患儿进行前瞻性研究。根据随机数字表法分为对照组和研究组，每组38例。对照组给予常规治疗，研究组在常规治疗基础上接受有趣的呼吸康复训练。观察比较两组的退热时间、肺部影像和咳嗽消失时间、住院时长、肺功能（首秒用力呼气容积（FEV1）、用力肺活量（FVC）、FEV1/FVC）、血清白细胞介素-6（IL-6）、C-反应蛋白（CRP）、肿瘤坏死因子-α（TNF-α）以及生活质量（儿童生活质量问卷库存，PedsQL 4.0评分）。 结果:研究组的退热时间、肺部影像和咳嗽消失时间、住院时长均短于对照组（P<0.05）。介入前一天，两组间FVC、FEV1、FEV1/FVC、IL-6、CRP和TNF-α无显著差异（P>0.05）。介入后一天，研究组的FVC、FEV1和FEV1/FVC均优于对照组（P<0.05），研究组的IL-6、CRP和TNF-α水平低于对照组（P<0.05）。介入前一天，两组在生理功能、情绪功能、社交功能和学校功能方面无显著差异（P>0.05）。介入后，研究组的生理功能、情绪功能、社交功能和学校功能均优于对照组（P<0.05）。 结论:有趣的呼吸康复训练可有效改善难治性支原体肺炎患儿的肺功能，具有较强的灵活性，值得临床应用。 © 2023. 生物医学中央有限公司，任何形式的转载请与出版人联系。

Refractory Mycoplasma pneumoniae pneumonia (RMPP) cause damage of pulmonary function and physical therapy assisting medical treatment is needed.The aim of this study was to investigate the effect of interesting respiratory rehabilitation training on pulmonary function in children with RMPP.A total of 76 children with diagnoses of RMPP in our hospital from January 2020 to February 2021 were enrolled in this prospective study. According to the random number table method, they were divided into the control group and the study group, with 38 cases in each group. The control group were given conventional treatment, and the study group received interesting respiratory rehabilitation training in the basis of conventional treatment. The antipyretic time, disappearance time of pulmonary shadow and cough, length of hospital stay, pulmonary function (first second of expiratory volume (FEV1), forced vital capacity (FVC), FEV1/FVC) at 1 day before and after intervention, serum interleukin-6 (IL-6), C-reactive protein (CRP), tumor necrosis factor (TNF-α), and quality of life (Pediatric Quality of Life Inventory, PedsQL 4.0 scale) were observed in the two groups.The antipyretic time, disappearance time of pulmonary shadow and cough, length of hospital stay in the study group were shorter than those in the control group (P < 0.05). One day before intervention, there was no significant difference in FVC, FEV1, FEV1/FVC IL-6, CRP, and TNF-α between the two groups (P > 0.05). One day after intervention, FVC, FEV1 and FEV1/FVC in the study group were better than those in the control group (P < 0.05), and the levels of IL-6, CRP, and TNF-α in the study group were lower than those in the control group with significant difference (P < 0.05). One day before intervention, there were no significant differences in physiological function, emotional function, social function, and school function between the two groups (P > 0.05). After intervention, physiological function, emotional function, social function, and school function of the study group were better than those of the control group (P < 0.05).The interesting respiratory rehabilitation training can effectively improve the pulmonary function of children with RMPP, with strong flexibility, which is worthy of clinical application.© 2023. BioMed Central Ltd., part of Springer Nature.