中等强度有氧运动训练对缓解期炎症性肠病患者疲乏的干预效果

Effects of moderate intensity exercise on fatigue of patients with inflammatory bowel disease

目的探讨中等强度有氧运动训练对缓解期炎症性肠病(inflammatory bowel disease,IBD)患者疲乏、下肢肌力水平的作用。方法选取2021年3月-2022年3月于笔者所在医院就诊的67例缓解期IBD患者,采用随机数表法将其分为干预组34例和对照组33例,对照组给予常规治疗和健康宣教,干预组在对照组基础上给予中等强度有氧运动训练,为期12周。比较干预前后2组疲乏程度、下肢肌力水平。结果干预后,干预组疲乏总分、一般性疲乏、生理性疲乏、体力活动减少及动力下降维度评分均低于对照组(P均<0.05);干预组伸肌峰力矩、屈肌峰力矩、伸肌相对峰力矩在60°·s^(-1)下均高于对照组(P均<0.001),屈肌相对峰力矩在60°·s^(-1)和180°·s^(-1)下也高于对照组(P均<0.05)。结论中等强度有氧运动训练能够显著提高IBD患者的下肢肌肉力量,缓解其疲乏程度。

Objective To explore the effect of moderate intensity aerobic exercise on fatigue and lower limb muscle strength in patients with inflammatory bowel disease(IBD)in the remission stage.Methods Totally 67 IBD patients in remission and admitted to our hospital between March 2021 and March 2022 were selected,and divided into an intervention group of 34 and a control group of 33,according to a random number table.Both groups received routine treatment and health education,while the intervention group was additionally provided with moderate intensity aerobic exercise for 12 weeks.The fatigue symptoms and lower limb muscle strength were compared between the two groups before and after intervention.Results After intervention,the intervention group had lower scores in terms of total fatigue,general fatigue,physiological fatigue,decreased physical activity,and decreased power(all P<0.05)compared to the control group.Moreover,the peak torque of extensors,flexors,and relative peak torque of extensors in the intervention group were significantly higher than that in the control group at 60°·s^(-1)(all P<0.001),while the relative peak torque of flexors was significantly higher than the latter at 60°·s^(-1)and 180°·s^(-1)(all P<0.05).Conclusion Moderate intensity aerobic exercise can significantly improve lower limb muscle strength and alleviate fatigue in IBD patients.