十二段锦联合有氧训练对老年卒中恢复期患者的影响

The effects of twelve-duanjin exercise combined with aerobic training on stroke elderly patients in the convalescent period

目的 分析健身气功十二段锦联合有氧康复训练对老年卒中后恢复期的干预效果。方法 选取我院就诊的226例老年脑卒中恢复期患者。根据入院顺序分为联合组和常规组各113例。常规组采取脑卒中基础护理及常规康复训练,联合组在常规组的基础上采取健身气功十二段锦联合有氧康复训练干预,两组均治疗3个月。比较两组治疗前后的心肺功能(最大峰值摄氧量、无氧阈值、峰值功率、运动持续时间、左心室射血分数)、肌肉功能(改良Ashworth痉挛评定量表)、C反应蛋白、同型半胱氨酸、空腹血糖、总胆固醇及生活质量Barthel指数。结果 治疗后,两组最大峰值摄氧量、无氧阈值、峰值功率、运动持续时间、左心室射血分数值较治疗前明显升高,血清C反应蛋白、同型半胱氨酸、总胆固醇水平及空腹血糖值较治疗前明显降低,且联合组改变较常规组显著(均P<0.05);联合组治疗后的肌张力情况及独立生活能力显著优于常规组,差异有统计学意义(P<0.05)。结论 健身气功十二段锦联合有氧康复训练可有效改善老年卒中康复期患者的心肺功能及肌痉挛情况,提高其生活质量。

Objective To analyze the intervention effect of health Qi-gong twelve-duanjin exercise combined with aerobic rehabilitation training in elderly on the convalescent period after stroke.Methods 226 elderly patients with stroke in the convalescent period treated in our hospital were selected. According to the order of admission, the patients were divided into a combined group and a routine group, 113 in each group. The routine group was given basic stroke nursing and routine rehabilitation training. The combined group performed health Qi-gong twelve-duanjin exercise combined with aerobic rehabilitation training intervention on the basis of the routine group. Both groups were treated for 3 months. Cardiopulmonary function(maximum peak oxygen uptake, anaerobic threshold, peak power, exercise duration, and left ventricular ejection fraction), muscle function(modified Ashworth Spasm Rating Scale), C-reactive protein, homocysteine, fasting plasma glucose, and total cholesterol as well as quality of life(Barthel Index) were compared before and after treatment between the two groups.Results After treatment, the maximal peak oxygen uptake, anaerobic threshold, peak power, exercise duration, and left ventricular ejection fraction in both groups were significantly increased compared with those before treatment(P<0.05). The levels of serum C-reactive protein, homocysteine, total cholesterol and fasting plasma glucose in the two groups were significantly reduced after treatment when compared to those before treatment. The above indicators were significantly lower in the combined group than those in the routine group(all P<0.05). After treatment, the muscle tension and independent living ability of the combined group were significantly better than those of the routine group(all P<0.05).Conclusion Health Qi-gong twelve-duanjin exercise combined with aerobic rehabilitation training can effectively improve the cardiopulmonary function and muscle spasm of elderly patients with stroke in the convalescent period. It also enhances the quality of life of the patients.