奥塔戈运动项目在老年肌少症患者中的应用效果研究

Effects of the Otago Exercise Program in elderly patients with sarcopenia

目的探讨奥塔戈运动项目(OEP)在老年肌少症患者中的应用效果。方法采用便利抽样法,选取2022年1—2023年1月在上海交通大学医学院附属瑞金医院老年病科住院的80例肌少症患者为研究对象,采用随机数字表法将老年肌少症患者分为对照组和干预组,每组40例。对照组进行常规随访,干预组在对照组基础上进行为期12周的OEP,在干预前后测量两组患者的肌力(握力、5次坐立试验时间)、肌肉质量(骨骼肌质量指数)、躯体功能(6 m步速、简易躯体功能量表得分)和生活质量(中文版肌少症生活质量量表得分)。结果干预后,干预组的5次坐立试验时间低于对照组(P<0.05);干预组的6 m步速、简易躯体功能量表得分、中文版肌少症生活质量量表得分高于对照组(P<0.05);但两组的握力、骨骼肌质量指数比较无差异(P>0.05)。结论OEP可改善老年肌少症患者的下肢肌力、躯体功能,提高生活质量,为医护人员制订老年肌少症患者运动方案提供参考。

Objective To explore the effects of the Otago Exercise Program(OEP)in aged patients diagnosed with sarcopenia.Methods Totally 80 sarcopenic patients admitted to the Department of Geriatric Diseases at Ruijin Hospital,Shanghai Jiao Tong University School of Medicine between January 2022 and January 2023 were selected by convenience sampling.Using a random number table,patients were allocated into control and intervention groups,each containing 40 individuals.The control group underwent routine follow-ups,while the intervention group received a 12-week OEP in addition to the regular follow-up.Measures were taken before and after the intervention for muscle strength(grip strength,5-times sit-to-stand test time),muscle mass(skeletal muscle mass index),physical function(6 m walking speed,Short Physical Performance Battery,SPBB),and quality of life(Sarcopenia Quality of Life,SarQoL).Results Post-intervention,the 5-times sit-to-stand test time was lower in the intervention group compared to the control group(P<0.05).Moreover,the 6 m walking speed,SPBB scores,and SarQoL scores were higher in the intervention group(P<0.05).However,no significant statistical differences were found between the two groups regarding grip strength and skeletal muscle mass index(P>0.05).Conclusions The OEP can enhance lower limb muscle strength,improve physical function,and elevate the quality of life in aged sarcopenic patients.This provides medical professionals with a reference for designing exercise plans for these individuals.