弹力带抗阻力训练对AIDS合并肌肉减少症患者肌力改善情况的分析

Improvement of muscle strength in AIDS patients with sarcopenia by elastic band resistance training

目的探讨弹力带抗阻力训练对AIDS合并肌肉减少症(简称肌少症)患者握力、Berg平衡及Barthel指数改善情况的分析。方法选取成都市公共卫生临床医疗中心感染科106例AIDS合并肌少症患者作为研究对象。对照组进行常规健康教育,试验组在常规健康教育的基础上实施8周弹力带抗阻力训练干预,两组均干预8周。于干预前及干预后对两组患者进行握力、Berg平衡及Barthel指数测试,评估弹力带抗阻力训练对AIDS患者肌少症的干预效果。结果共干预完成104例,试验组53例,对照组51例。干预后对照组握力值、Berg平衡测试、Barthel指数测评分别为22.40(20.10,24.90)、52.00(47.00,54.00)、52.00(47.00,54.00),干预后试验组握力值、Berg平衡测试、Barthel指数得分别为27.00(23.45,30.55)、54.00(51.00,56.00)、95.00(90.00,97.50)。组间比较,干预后两组握力值、Berg平衡测试、Barthel指数测评分比较差异均有统计学意义(P<0.05);组内比较,对照组干预前后握力、Berg平衡及Barthel指数测评比较差异均无统计学意义(P>0.05),试验组干预前后握力、Berg平衡及Barthel指数测评比较差异均有统计学意义(P<0.05)。结论弹力带抗阻力训练能改善AIDS合并肌少症患者的肌力、提升平衡能力及日常生活活动能力。

Objective To explore the effect of elastic band anti-resistance training on AIDS patients with sarcopenia.Methods 106 AIDS patients in the infection department of Chengdu Public Health Medical Center were selected.They were divided into a control group and an experimental group,with 53 cases in each group.The control group received routine health education and the experimental group received an 8-week elastic band anti-resistance training intervention based on routine health education.The grip strength,Berg Balance,and Barthel index were tested before and after the intervention to evaluate the intervention effect of elastic band anti-resistance training on AIDS patients with sarcopenia.Results 104 patients completed the intervention.Significant differences appeared in grip strength,Berg Balance and Barthel index between the two groups after the intervention(P<0.05)approach was carried out.There was no significant difference in grip strength,Berg Balance,and Barthel index before and after intervention in the control group(P>0.05),but there was a significant difference in grip strength,Berg Balance,and Barthel index before and after intervention in the experimental group(P<0.05).Conclusions Anti-resistance training with elastic bands can improve the muscle strength,balance ability and activities of daily living of AIDS patients with sarcopenia.