有氧训练对T_6以上脊髓损伤患者心肺功能和ADL的影响

Effects of Aerobic Exercise on Cardiopulmonary Function and ADL in Patients with Spinal Cord Injuries

目的:观察有氧训练对T6以上脊髓损伤患者心肺功能及日常生活活动能力(ADL)的影响。方法:将76例T6以上脊髓损伤患者分为观察组(56例)和对照组(20例)。对照组进行常规综合康复治疗(包括肌力训练、站立训练、平衡、转移训练、被动关节活动度训练、ADL训练、膀胱功能等其他综合康复训练),观察组进行常规综合康复治疗和应用上肢转轮测功计(GXT)等进行有氧训练。分别于入院时及康复训练4周后,采用心电监测仪器对患者静息心率、血压、最大摄氧量和血氧饱和度进行检测;采用日本产HI-701型肺功能测定仪对患者肺功能进行检查;采用改良Barthel指数(MBI)和功能独立性(FIM)量表评定患者ADL能力,对结果进行统计学分析比较。结果:经4周康复训练后,两组患者心肺功能、日常生活活动能力均明显改善,观察组明显优于对照组(P<0.05)。结论:有氧训练对改善T6以上脊髓损伤患者心肺功能和日常生活活动能力(ADL)具有重要意义。

Objective：To study the effects of aerobic exercise on cardiopulmonary function and ADL in patients with SCI at above T6 level.Methods：76 patients with spinal cord injury at above T6 level were randomly divided into the treatment group（56 cases） and the control group（20 cases）.Patients in the control group were treated with routine comprehensive rehabilitation（including muscle strength,standing exercise,balance exercise,transfer,passive joint motion,ADL,bladder function,et al）.Treatment group was treated with routine treatment and arm cycling. Initial load of arm cycling and the rate of increase of load and duration were based on level of injury, weight, sex, old and height. The functions of all patients were assessed by resting heart rate, blood pressure, maximal oxygen consumption （VO2max）, oxygen saturation （ sPO2）, vital capacity （VC）, forced vital capacity （FVC）, maximal voluntary ventilation （MVV）, forced expiratory volume in the first second （FEV1）, modified bartbel index （MBI）, functional independent measure（FIM） on admission and post-4 weeks rehabilitation. Results： After 4 weeks rehabilitation , cardiopulmonary function and ADL of all patients were significantly increased, and improvement of ability in treatment group was superior to that in control group （P〈0. 05）. Conclusion： Aerobic exercise combined with comprehensive rehabilitation have clinical effects on caxdiopulmonary function and ADL in patients with SCI at above T6 level.