首页|不同类型轮椅太极锻炼对高脂血症老年残疾患者血脂及心血管功能的影响

不同类型轮椅太极锻炼对高脂血症老年残疾患者血脂及心血管功能的影响

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[目的]为探究不同类型轮椅太极锻炼对高脂血症老年残疾患者血脂及心血管功能的影响。[方法]选取了武汉市武昌区16个社区中210例下肢残疾伴高脂血症的老年患者,随机分为轮椅太极乾坤球干预组、轮椅太极拳干预组和无运动干预组各70例,分别实施为期24周的实验干预。[结果]1)两组干预均使总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、心肌耗氧指数(HOI)、肺动脉楔压(PAWP)及全血黏度(N)水平显著下降,同时显著提升了每分心输出量(CO)、左心室有效泵力指数(VPEL)、心脏指数(CI)及左心搏功指数(SWI);2)两组干预均显著提高了血管顺应度(AC),血脂成分方面,甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、载脂蛋白A1(ApoA1)及载脂蛋白B(ApoB)的变化均达到统计学显著性。3)轮椅太极乾坤球组在改善微循环指标方面表现尤为突出,微循环半更新率(MHR)、微循环半更新时间(MRT)及微循环平均滞留时间(MST)均显著降低。[结论]长期有规律的轮椅太极乾坤球、轮椅太极拳锻炼均能有效改善高脂血症老年残疾患者的血脂水平及心血管功能。比较而言,轮椅太极乾坤球锻炼对改善高脂血症老年残疾患者的血脂水平、心血管功能的效果优于轮椅太极拳。
Study on the effects of different types of wheelchair Tai Chi exercises on hyperlipidemia elderly disabled patients'blood lipid and cardiovascular func
[Objective]To explore the effects of different types of wheelchair Tai Chi exercises on hyperlipidemia elderly disabled patients'blood lipid and cardiovascular function.[Methods]We selected 210 elderly patients with lower limb disability and hyperlipidemia from 16 communities in Wuchang District,Wuhan City.These patients were divided into 3 groups:70 pa-tients of wheelchair Taiji QianKun ball intervention group,70 patients of wheelchair Tai Chi intervention group and 70 patients of non-sport intervention group.And then we conducted these intervention activities for a period of 24 weeks.After that,we measured the blood lipid level and cardiovascular function indexes of these three groups of patients.[Results]1)Both interven-tions resulted in significant reductions in total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),myocardial oxy-gen consumption index(HOI),pulmonary artery wedge pressure(PAWP),and whole blood viscosity(N),while significantly enhancing cardiac output(CO),left ventricular effective pumping index(VPEL),cardiac index(CI),and left ventricular stroke work index(SWI);2)Both interventions significantly improved arterial compliance(AC),and the changes in lipid components,including triglycerides(TG),high-density lipoprotein cholesterol(HDL-C),apolipoprotein A1(ApoA1),and apolipoprotein B(ApoB),were statistically significant;3)The wheelchair Taiji QianKun ball group showed particularly outstanding perform-ance in improving microcirculation indicators,with significant reductions in microcirculation half-renewal rate(MHR),micro-circulation half-renewal time(MRT),and microcirculation average residence time(MST).[Conclusion]The long-term regularly exercise of wheelchair Taiji QianKun ball and wheelchair Tai Chi can effectively improve the blood lipid level and cardiovascular function of elderly patients with hyperlipidemia.By comparison,the effect of wheelchair Taiji QianKun ball exercise on impro-ving the blood lipid level and cardiovascular function of elderly patients with hyperlipidemia is better than that of wheelchair Tai Chi.

disabled patientshyperlipidemiawheelchair Tai Chiblood lipidcardiovascular function

刘德生、黄岩红、刘买如

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武汉体育学院武术学院,武汉 430079

青岛城市学院体育教学部,山东青岛 266106

华中师范大学体育学院,武汉 430079

残疾人 高脂血症 轮椅太极 血脂 心血管功能

2025

河南师范大学学报(自然科学版)
河南师范大学

河南师范大学学报(自然科学版)

北大核心
影响因子:0.285
ISSN:1000-2367
年,卷(期):2025.53(1)