摘要
目的 观察八段锦联合血流限制训练对老年肌少症患者的肌肉力量、体能及日常生活能力的影响.方法 选取 2021 年 1 月～2022 年 12 月北京市隆福医院收治的老年肌少症患者 126 例,按随机数字表法分为两组,每组 63 例.对照组接受肌少症常规治疗,观察组在对照组基础上给予八段锦联合血流限制训练.两组均干预 12 周.采用骨骼肌质量参数(SMI)、四肢骨骼肌质量指数(ASMI)、肌肉握力、简易躯体能力测试表(SPPB)、改良 Barthel指数(MBI)比较分析两组患者肌肉活动功能及日常生活能力(Barthel指数).结果 干预前,两组患者握力比较[(20.06±3.63)kg vs.(19.81±4.77)kg],差异无统计学意义(t=0.331,P=0.741).干预后,两组肌肉力量均明显升高,且观察组握力明显高于对照组[(27.10±14.03)kg vs.(23.01±4.11)kg],差异有统计学意义(t=3.993,P=0.000).干预前,两组患者Barthel指数评分、SPPB评分、SMI、ASMI差异无统计学意义(P>0.05);干预后,两组SMI、ASMI明显增加,且观察组握力Barthel指数评分(82.43±18.75)分、SPPB评分(9.12±2.24)、SMI(27.40±3.17)、ASMI(6.45±0.72)显著高于对照组(t=6.064、3.261、2.770、5.860,P<0.05).结论 八段锦联合血流限制训练的方案,在老年肌少症的治疗方面具有积极地效果,能一定程度上提高机体的肌肉质量,有利于改善患者的日常活动质量.
Abstract
Objective To observe the effects of Baduanjin combined with blood flow restriction training on muscle strength,physical fitness,and daily living ability of senile patients with sarcopenia.Methods A total of 126 elderly sarcopenia patients,enrolled between January 2021 to December 2022,were divided into two groups by a random numbers table method,with 63 patients in each group.The control group received conventional treatment for sarcopenia,while the observation group underwent combined flow restriction training in addition to the control group's treatment.Both groups were intervened for 12 weeks.Skeletal muscle mass index(SMI,ASMI),muscle grip strength,simple physical ability test(SPPB)and modified Barthel index(MBI)were used to assess muscle activity function and daily living ability(Barthel index).Results Before intervention,there was no significant difference in grip strength between the observation group and the control group(t=0.331,P=0.741).After intervention,the muscle strength of both groups significantly increased,and there was a significant difference in grip strength between the observation group and the control group(t=3.993,P=0.000),with the observation group being the most prominent.There was no significant difference in grip strength,SMI,and ASMI before intervention between the two groups(P>0.05);After intervention,grip strength,SMI,and ASMI significantly increased in both groups,and the observation group had significantly higher Barthel index score,SPPB score,SMI,and ASMI than the control group(t=6.064,3.261,2.770,5.860,P<0.001).Conclusion The combination of Baduanjin and Blood Flow Restriction Training shows positive effects in treating sarcopenia in elderly patients.It effectively enhances muscle mass to some extent and contributes to improving patients'daily activity quality.
基金项目
北京市东城区卫生科技计划(东卫健研[2021]-8)
NETL
NSTL
万方数据