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抗阻训练在脑卒中伴肌少症患者中的应用效果

Application effects of resistance training in stroke patients with sarcopenia

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目的 评估抗阻训练在脑卒中伴肌少症患者中的应用效果.方法 选择2023年9月-2024年3月医院收治的44例脑卒中伴肌少症患者为研究对象,在组间基线资料均衡可比原则的基础上,采用随机数字表法分为对照组和观察组,每组22例.两组患者均接受标准的脑卒中综合康复训练,而观察组在此基础上增加抗阻训练,干预4周.比较两组患者干预前后四肢骨骼肌质量[四肢骨骼肌质量指数(ASMI)]和日常生活活动能力[改良Barthel指数(MBI)].结果 康复训练干预前,两组患者ASMI比较差异无统计学意义(P>0.05);干预后,两组患者的ASMI水平均升高,但观察组患者ASMI显著高于对照组,差异有统计学意义(P<0.05).康复训练干预前,两组患者MBI评分比较差异无统计学意义(P>0.05);干预后,两组患者MBI评分均升高,但观察组患者MBI评分显著高于对照组,差异有统计学意义(P<0.05).结论 抗阻训练能够有效提高脑卒中伴肌少症患者的四肢骨骼肌质量和日常生活活动能力.
Objective To assess the impact of resistance training on the rehabilitation treatment effects in stroke patients with sarcopenia.Methods Forty-four patients with stroke and sarcopenia admitted to the hospital from September 2023 to March 2024 were selected as the subjects of the study.Based on the principle of intergroup balance and comparability,they were randomly divided into a control group and an observation group using a random number table method,with 22 cases in each group.Both groups of patients received standard comprehensive rehabilitation training for stroke,while the observation group added resistance training for a 4-week intervention.Before and after the intervention,the limb skeletal muscle mass[appendicular skeletal muscle mass index(ASMI)]and the ability of daily living activities[modified Barthel index(MBI)]of two groups were compared.Results Before the intervention,there was no statistically significant difference in ASMI between the two groups(P>0.05).After the intervention,the ASMI levels of both groups improved,but it was higher in the observation group than in the control group(P<0.05).Before the intervention,there was no statistically significant difference in MBI between the two groups(P>0.05).After the intervention,the MBI scores of both groups increased,but it was higher in the observation group than in the control group(P<0.05).Conclusion Resistance training can effectively improve the limb skeletal muscle mass and daily living activity ability of stroke patients with sarcopenia.

StrokeSarcopeniaResistance training

赵传、冯泰盛、薛新宏、王晓光、陶徉聿、薛子娇、董静

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063000 河北省唐山市,华北理工大学

华北理工大学附属医院康复医学科

脑卒中 肌少症 抗阻训练

2024

现代养生
河北省医疗气功医院

现代养生

影响因子:1.355
ISSN:1671-0223
年,卷(期):2024.24(24)