眼球运动训练对老年AIDS患者平衡能力的影响研究

Effect of eye movement training on balance ability of elderly AIDS patients

目的探讨眼球运动训练对老年AIDS患者平衡能力的影响。方法采用随机对照试验,选取成都市公共卫生临床医疗中心感染科100例老年AIDS患者作为研究对象,按计算机随机数字表法随机分为对照组和试验组各50例。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周眼球运动训练干预,两组均干预8周。于干预前及干预后对两组患者进行Berg平衡功能测试和起立-行走计时测试,评估眼球运动训练对老年AIDS患者平衡能力的干预效果。结果共干预完成99例老年AIDS患者,试验组50例,对照组49例。干预后对照组Berg平衡功能测试、起立-行走计时测试分别为51.00(46.50,53.00)分、13.20(11.70,15.85)s,试验组分别为55.00(50.00,56.00)分、9.55(8.20,12.70)s。组间比较,干预后试验组平衡功能测试结果高于对照组,起立-行走计时测试用时少于对照组,差异均有统计学意义(P<0.01);组内比较,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<0.01),对照组干预前后比较差异均无统计学意义(P>0.05)。结论眼球运动训练能改善老年AIDS患者平衡能力,提升日常生活安全性。

Objective To explore the effect of eye movement training on balance ability in elderly AIDS patients.Methods We carried out a randomized controlled trial to select 100 elderly AIDS patients from the Infectious Diseases Department of Chengdu Public Health Clinical Medical Center as the study subjects.They were randomly divided into a control group and an experimental group with 50 cases each according to the computer random number table method.The control group received routine health education,while the experimental group received an 8-week eye movement training intervention based on routine health education.Both groups were studied for 8 weeks.Before and after the intervention,the Berg balance function test and stand-up walk timing test were performed on the two groups of patients to evaluate the intervention effect of eye movement training on the balance ability of elderly AIDS patients.Results A total of 99 elderly AIDS patients completed the study,including 50 in the experimental group and 49 in the control group.After the intervention,the Berg balance function test and standing walking timing test in the control group were 51.00(46.50,53.00)minutes and 13.20(11.70,15.85)seconds,respectively.The core in the experimental group was 55.00(50.00,56.00)minutes and 9.55(8.20,12.70)seconds,respectively.After the intervention,the balance function test results in the experimental group were higher than those in the control group,and the time used for the stand-walk timing test was less than that in the control group,with a statistically significant difference(P<0.01).For the intragroup comparison,there were statistically significant differences in grip strength,Berg balance,and Barthel index before and after intervention in the experimental group(P<0.01).There were no statistically significant differences in the control group before and after the intervention(P>0.05).Conclusion Eye movement training can improve the balance ability of elderly AIDS patients and enhance the safety of daily life.