营养联合运动干预对脑卒中伴肌少症患者的效果

Effect of nutrition combined with exercise on stroke patients with sarcopenia

目的观察营养联合运动干预方法对脑卒中伴肌少症患者的疗效。方法2022年1月至6月,华北理工大学附属医院住院的脑卒中伴肌少症患者60例,随机分为对照组、营养组、运动组和联合组,每组各15例。4组均予常规康复训练,营养组增加营养干预,运动组增加运动干预,联合组增加营养和运动干预,共4周。干预前后采用生物阻抗分析法评估肌肉指数,握力计测量健侧和患侧握力,采用改良Barthel指数(MBI)和Berg平衡量表(BBS)评定日常活动能力和平衡功能。结果对照组4例、营养组2例、运动组1例、联合组3例脱落。干预后,各组肌肉指数、握力、MBI评分、BBS评分均提高(|t|>3.004,P<0.05),联合组各项指标优于其他3组(P<0.05),运动组健侧握力高于营养组(P<0.05)。结论联合应用营养和运动干预能有效提高脑卒中伴肌少症患者肌肉质量、握力、日常生活活动能力和平衡功能,联合应用效果更佳。

Objective To explore the effect of nutrition combined with exercise intervention on stroke patients with sarcopenia.Methods From January to June,2022,60 stroke patients with sarcopenia were randomly divided into control group(n=15),nutrition group(n=15),exercise group(n=15)and combined group(n=15).All the groups received routine rehabilitation training,while the nutrition group received nutrition intervention,the exercise group received exercise intervention,and the combined group received both the nutrition and exercise intervention,for four weeks.Before and after intervention,the muscle index was measured with bioelectrical impedance analysis,gripping strength of the healthy and the affected side was measured with gripping strength meter,and the patients were assessed with modified Barthel Index(MBI)and Berg Balance Scale(BBS).Results Four cases in the control group,two in the nutrition group,one in the exercise group,and three in the combined group dropped down.The muscle index,gripping strength,and the scores of MBI and BBS improved in all the groups after intervention(|t|>3.004,P<0.05),while all improved more in the combined group than in the other three groups(P<0.05),and the grip strength of the healthy side was more in the exercise group than in the nutrition group(P<0.05).Conclusion Nutrition or exercise intervention alone can improve the muscle quality,grip strength,activities of daily living and balance of stroke patients with sarcopenia,while the combination is more effective.