不同运动方式在缓解期溃疡性结肠炎患者康复治疗中的作用分析

Analysis of the effect of different exercise modes on the rehabilitation of patients with ulcerative colitis

目的:探讨不同运动方式在缓解期溃疡性结肠炎患者康复治疗中的作用分析,以提高非药物治疗对本病的作用。方法:将2013年12月—2016年12月在我院消化内科治疗的56例缓解期溃疡性结肠炎患者随机分两组,对照组采用持续有氧运动,观察组采用高强度间歇运动,比较两组患者的治疗效果、症状改善情况、安全性及复发率。结果:观察组28例中,显效11例,有效15例,无效2例,治疗总有效率为92.86%,对照组28例中,显效8例,有效14例,无效6例,总有效率为78.57%,观察组明显高于对照组,差异有统计学意义(P<0.05);观察组炎症性肠病问卷(IBDQ)评分为(198.2±14.3)分,较对照组的(181.6±13.5)分明显改善,差异有统计学意义(P<0.05);观察组不良反应发生率为7.14%、复发率为7.14%,对照组不良反应发生率为3.57%、复发率为10.71%,两组间无明显差异(P>0.05)。结论:持续有氧运动及高强度间歇运动均有良好治疗缓解期溃疡性结肠炎的作用,但高强度间歇运动效果更佳,对患者的症状及生活质量改善更明显,且具有良好的耐受性,无明显不良反应,具有积极的临床意义。

Objective:To investigate the effect of different exercise modes on the rehabilitation of patients with ulcerative colitis.Method:56patients with ulcerative colitis treated in our hospital from December2013to December2016were randomly divided into two groups,the control group was treated with continuous aerobic exercise,while the observation group was treated with high-intensity intermittent exercise,the treatment effect,symptom improvement,safety and recurrence rate of the two groups were compared.Result:Out of28cases in the observation group,11cases were remarkably effective,15cases were effective,2cases were ineffective while out28cases in the control group,8cases were remarkably effective,14cases were effective,6cases were ineffective.The effective rate of the observation group was92.86%,which was significantly higher than that of the control group,78.57%;The inflammatory bowel disease questionnaire(IBDQ)score of the observation group(198.2±14.3)improved more significantly compared with that of the control group(181.6±13.5),the difference was statistically significant(P<0.05);The incidence of adverse reactions and recurrence rate of the observation group was7.14%and7.14%respectively,and that of the control group was3.57%and10.71%respectively,there was no significant difference in the incidence of adverse reactions and recurrence rate(P>0.05).Conclusion:The aerobic exercise and high-intensity intermittent exercise had good treatment effect in relieving the sustained remission of ulcerative colitis,and the high intensity intermittent exercise was better in effect,the quality of life of patients was improved obviously,there was no obvious reverse reaction and it had positive clinical significance.