有氧运动配合核心肌群训练对脊髓损伤患者心肺功能及下肢肌力的影响

doi:10.3969/j.issn.1006-6233.2022.01.018

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摘要 目的:探究有氧运动配合核心肌群训练对脊髓损伤(Spinal Cord Injury,SCI)患者心肺功能及下肢肌力的影响。方法:回顾性分析我院2018年1月至2020年12月收治的88例不完全脊髓损伤(incomplete spinal cord injury,ISCI) 患者临床资料,依据康复训练方式不同,分为研究组和对照组;其中行常规康复措施的41例患者为对照组,基于常规康复措施之上采用有氧运动配合核心肌群训练的47例患者为研究组;行心电监测仪监测、对比两组患者康复训练干预前后静息心率(resting heart rate,RHR)、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、血氧饱和度(Oxygen saturation,SaO₂)、最大摄氧量(maximal oxygen uptake,VO₂ Max),行肺功能测定仪监测、对比两组患者康复训练干预前后肺活量(vital capacity,VC)、用力肺活量(forced vital capacity,FVC)、最大通气量MVV(maximum voluntary ventilation)、第1秒用力呼气容积(forced expiratory volume in 1s,FEV1)占预测值百分比,行徒手肌力检查(manual muscle testing,MMT)评估、对比两组患者股四头肌、腘绳肌肌力,行ASIA下肢运动功能评定量表(ASIA-LEMS)评估、对比两组患者下肢运动功能。结果:心功能指标水平比较干预后研究组RHR明显低于对照组,SBP、 DBP、SaO₂、VO₂ Max水平以及干预前后水平差明显高于对照组(P<0.05);肺功能指标水平比较干预后研究组VC%、FVC%、MVV%、FEV1%水平以及干预前后水平差均明显高于对照组(P<0.05);下肢肌力、运动功能比较干预后研究组股四头肌MMT、腘绳肌MMT、ASIA-LEMS评分以及干预前后评分差均明显高于对照组(P<0.05)。结论:有氧运动配合核心肌群训练相较于单纯采取常规康复训练法,能够更进一步改善SCI患者心肺功能、增强其下肢肌力从而帮助患者恢复站立、步行能力,最终达到提高患者生存质量的目的。

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关键词 ：有氧运动, 核心肌群训练, 脊髓损伤, 心功能, 肺功能

Abstract：Objective: To explore the effects of aerobic exercise combined with core muscle training on the cardiopulmonary function and muscle strength of the lower extremities in patients with spinal cord injury (SCI). Method: A retrospective analysis was conducted with the clinical data of 88 patients with incomplete spinal cord injury (ISCI) admitted to our hospital from January 2018 to December 2020. According to different rehabilitation training methods, they were divided into study group and control group. Among them, 41 patients who underwent conventional rehabilitation measures were the control group, and 47 patients who had aerobic exercise and core muscle training based on conventional rehabilitation measures were the study group. ECG monitors were used to monitor and compare the resting heart rate (RHR), systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation (SaO₂), and maximum oxygen uptake (VO₂ Max) before and after rehabilitation training interventions. Pulmonary function tester was used to compare the vital capacity (VC), forced vital capacity (FVC), maximum voluntary ventilation (MVV) before and after rehabilitation training intervention. Forced expiratory volume in 1s (FEV1) accounted for the percentage of the predicted value. Manual muscle testing (MMT) was performed to evaluate and compare the quadriceps and hamstring muscle strength of the two groups of patients. The ASIA Lower Extremity Motor Function Assessment Scale (ASIA-LEMS) was used to evaluate and compare the lower extremity motor function of the two groups of patients. Results: Comparison of cardiac function index levels after intervention in the study group was significantly lower than the control group, SBP, DBP, SaO₂, VO₂ Max levels and the level difference before and after intervention was significantly higher than the control group (P<0.05); lung function index levels were compared after intervention. The levels of VC%, FVC%, MVV%, FEV1% and the level difference before and after the intervention in the study group were significantly higher than those in the control group (P<0.05); quadriceps MMT, hamstring Muscle MMT, ASIA-LEMS scores of the study group after intervention of comparison of muscle strength and motor function of the lower limbs significantly higher than those of the control group (P<0.05). Conclusion: Compared with conventional rehabilitation training, aerobic exercise combined with core muscle training can further improve the cardiopulmonary function of patients with SCI, strengthen the muscle strength of their lower extremities, and help patients recover their standing and walking abilities, and ultimately improve the quality of life of patients.

Key words： Aerobic exercise Core muscle training Spinal cord injury Heart function Lung function

基金资助:陕西省社会发展科技攻关项目,(编号:2016SF-075)

通讯作者: 高东梅

引用本文:

杨春琴, 李玲霞, 王明明, 刘静静, 高东梅. 有氧运动配合核心肌群训练对脊髓损伤患者心肺功能及下肢肌力的影响[J]. 河北医学, 2022, 28(1): 86-90.
YANG Chunqin, LI Lingxia, WANG Mingming, et al. The Effect of Aerobic Exercise Combined with Core Muscle Training on Cardiopulmonary Function and Muscle Strength of Lower Limbs in Patients with Spinal Cord Injury. HeBei Med, 2022, 28(1): 86-90.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2022.01.018 或 http://www.hbyxzzs.cn/CN/Y2022/V28/I1/86

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