低强度抗阻训练对高龄患者平衡功能和抑郁状态的疗效观察

Effect of low intensity resistance training on balance function and depression state in elderly patients

目的:探讨低强度抗阻训练对老年患者平衡功能和抑郁状态的疗效。方法:选取我院符合入组条件的60例老年患者,通过随机数字表法分为研究组(30例)和对照组(30例)。对照组在常规药物治疗和护理的基础上,每天接受常规运动训练1次,每次30 min,每周训练5 d,持续干预6个月。研究组在常规药物治疗和护理的基础上,每天接受常规运动训练及低强度抗阻训练,每次30 min,每周训练5 d,持续干预6个月。于治疗前1周、治疗3个月、治疗6个月后,使用BioRescue&BioVal全身智能康复系统对治疗前后2组患者重心移动轨迹通过的表面积进行统计,评估2组患者平衡能力;使用老年抑郁量表对治疗前后老年患者情绪状态进行评估。结果:对照组干预6个月后重心移动轨迹表面积评分较干预前1周有改善(P<0.05),与干预3个月后评分差异无统计学意义(P>0.05),干预6个月后老年抑郁量表评分较干预前1周有改善(P<0.05),与干预3个月后评分差异无统计学意义(P>0.05);研究组干预6个月后重心移动轨迹表面积评分、老年抑郁量表评分较干预前1周、干预3个月后均有改善(均P<0.05);干预6个月后,研究组重心移动轨迹表面积评分、老年抑郁量表评分与对照组相比差异有统计学意义(P<0.05)。结论:低强度抗阻训练结合常规药物治疗和护理对改善护理医院老年患者的平衡功能及抑郁状态有积极的疗效。

Objective To explore the effect of low-intensity resistance training on balance function and depression in elderly patients in nursing hospital.Methods Totally 60 elderly patients were randomly divided into study group(30 cases)and control group(30 cases).Based on routine drug treatment and nursing,the control group received routine exercise training once a day,30 min each time,5 d a week for 6 months,while the study group received both routine exercise training and low-intensity resistance training every day,30 min each time,5 d a week,and continuous training for6 months.One week before treatment,3 months,and 6 months after treatment,BioRescue&BioVal whole body intelligent rehabilitation system was used to calculate the surface area scores of gravity moving trajectory to evaluate their balance ability for the patients in two groups.In addition,the elderly depression scale was used to evaluate the emotional state of the elderly patients before and after treatment.Results In control group,the surface area score of gravity moving trajectory and geriatric depression scale score after 6 months were improved than those in 1 week before treatment(P<0.05),while both scores after 3 months didn’t show difference(P>0.05).In the study group,compared with 1 week before treatment and 3 months after training,the surface area score of gravity moving trajectory and the geriatric depression scale score were improved after 6 months training(both P<0.05).In addition,two scores after 6 months in study group were better than those in control group(P<0.05).Conclusions Low intensity resistance training combined with conventional drug therapy and nursing has a positive effect on improving balance function and depression state of elderly patients in nursing hospital.