中医康复干预对老年肌少症患者康复的应用价值研究

Research on Applied Value of Traditional Chinese Medicine Rehabilitation Intervention during Rehabilitation Period for Elderly Patients with Sarcopenia

目的:探讨中医康复干预对在老年肌少症患者康复期间的应用价值。方法:2018年01月~2019年01我院收治的110例肌少症患者的临床资料进行整理、分析,根据干预方法不同分为对照组(55例,常规干预)和观察组(55例,常规干预+中医康复干预)。比较两组患者干预前后生活质量、日常生活能力、身体功能情况;观察两组患者治疗后步速、握力及肌肉质量变化情况;调查干预后两组患者干预满意度。结果:(1)干预后,两组患者社会功能、物质生活、躯体功能、心理功能评分均明显升高(P<0.05);观察组显著高于对照组(P<0.05)。(2)两组患者干预后改良Barthel指数呈逐渐升高趋势(P<0.05);观察组患者干预后1个月、2个月及3个月改良Barthel指数均明显高于对照组患者(P<0.05)。(3)干预后,两组患者SPPB、MFES评分均升高,其中以观察组患者升高更为明显(P<0.05)。(4)干预后,2组患者观察组步速、握力及肌肉质量明显提高,观察组改善幅度更大(P<0.05)。(5)对照组患者干预总满意度85.45%明显低于观察组96.36%(P<0.05)。结论:中医康复干预可提高老年肌少症患者生活质量及日常生活能力,改善其肌肉功能,且患者认可度高,有利于促进患者康复。

Objective:To explore the value of intervention of traditional Chinese medicine rehabilitation in the rehabilitation of elderly patients with sarcopenia.Methods:The clinical data of 110 patients with sarcopenia admitted to our hospital from January 2018 to January 2019 were sorted and analyzed.According to different intervention methods,they were divided into a controlled group(55 cases,conventional intervention)and an observation group(55 cases,conventional intervention+traditional Chinese medicine rehabilitation intervention).The quality of life,activities of daily living,and physical functionof patients between the two groups before and after nursing were compared.The changes in pace,grip strength and muscle mass of patients between the two groups were observed after treatment.After nursing,the satisfaction of patients with intervention between the two groups was investigated.Results:(1)After intervention,the scores in social function,material life,physical function,and psychological function of patients between the two groups significantly increased(P<0.05).The score of the observation group was significantly higher than that of the controlled group(P<0.05).(2)The modified Barthel index of patients between the two groups after intervention showed a gradual increase trend(P<0.05).The modified Barthel index of patients in the observation group was significantly higher than that in the controlled group 1,2,and 3 months after intervention(P<0.05).(3)After intervention,the SPPB and MFES scores of patients in the two groups increased,and the observation group increased significantly(P<0.05).(4)After intervention,the pace,grip strength and muscle mass of the patients in the 2 groups significantly improved,and the improvement was even greater in the observation group(P<0.05).(5)The total satisfaction of patients in the controlled group with intervention care was 85.45%,which was significantly lower than that in the observation group 96.36%(P<0.05).Conclusion:Traditional Chinese medicine rehabilitation intervention can improve the quality of life and daily life of elderly patients with sarcopenia,improve their muscle function,and the patient’s recognition is high,which is conducive to promoting recovery of patients.