标题：有氧运动结合渐进性抗阻训练对住院老年肌少症患者的干预效果研究

      作者：王磊 1，陈松 1，段江泽琰 1，姜文扬 1，姜敏敏 2    上海市杨浦区控江医院康复医学科 1、老年医学科 2，上海 200093

      卷次： 2024年35卷4期

      【摘要】 目的 探讨有氧运动结合渐进性抗阻训练对住院老年肌少症患者的干预效果。方法 选取2022年8月至2023年3月于上海市杨浦区控江医院住院治疗的60例老年肌少症患者作为研究对象，按照随机数表法分为观察组和对照组各30例。对照组患者使用常规有氧运动干预，观察组患者在对照组基础上联合渐进性抗阻训练，均持续干预 12周。比较两组患者干预前后的握力、骨骼肌质量指数、大腿周径、Barthel指数(BI)、Berg平衡量表(BBS)评分、6 min步行测试(6MWT)距离和生活质量综合量表-74 (GQOLI74)评分的变化。结果 干预后，观察组患者的握力、骨骼肌质量指数、大腿周径分别为(21.32±2.08) kg、(6.58±0.41) kg/m2、(52.87±1.46) cm，明显高(长)于对照组的(19.88±1.72) kg、(6.27±0.46) kg/m2、(51.84±1.98) cm，差异均有统计学意义(P<0.05)；干预后，观察组患者的BI评分、BBS评分、6MWT分别为(59.30±4.52)分、(48.25±3.76)分、(441.66±31.42) m，明显高于(长)于对照组的(53.07±4.70)分、(45.81±3.71)分、(417.59±32.85) m，差异均有统计学意义(P<0.05)；GQOLI74评分中，观察组患者的躯体功能、心理功能、社会功能评分分别为(78.23±6.52)分、(73.24±6.85)分、(77.26±6.13)分，明显高于对照组的(72.67±6.88)分、(66.72±6.91)分、(73.05±6.66)分，差异均有统计学意义(P<0.05)。结论 有氧运动结合渐进性抗阻训练对住院老年肌少症患者的干预效果明显，值得临床推广应用。
      【关键词】 肌少症；老年；抗阻训练；有氧运动；生活质量
      【中图分类号】 R685 【文献标识码】 A 【文章编号】 1003—6350（2024）04—0468—04

Intervention effect of aerobic exercise combined with progressive resistance training on hospitalized elderlypatients with sarcopenia.
WANG Lei 1, CHEN Song 1, DUANJIANG Ze-yan 1, JIANG Wen-yang 1, JIANG Min-min 2.Department of Rehabilitation Medicine 1, Department of Geriatrics 2, Shanghai Yangpu District Kongjiang Hospital, Shanghai200093, CHINA
【Abstract】 Objective To explore the intervention effect of aerobic exercise combined with progressive resis-tance training on hospitalized elderly patients with sarcopenia. Methods Sixty elderly patients with sarcopenia whowere hospitalized at Shanghai Yangpu District Kongjiang Hospital from August 2022 to March 2023 were selected as thestudy subjects. They were randomly divided into an observation group and a control group using a random number tablemethod, with 30 cases in each group. Patients in the control group received routine aerobic exercise intervention, whilethose in the observation group received progressive resistance training in addition to the treatment of the control group,continuously for 12 weeks. The changes in grip strength, skeletal muscle mass index, thigh circumference, Barthel index(BI), Berg balance scale (BBS) score, 6-minute walk test (6MWT) distance, and comprehensive quality of life scale 74(GQOLI74) score were compared between the two groups of patients before and after intervention. Results After inter-vention, the grip strength, skeletal muscle mass index, and thigh circumference of the observation group were (21.32±2.08) kg, (6.58± 0.41) kg/m2, and (52.87 ± 1.46) cm, respectively, significantly higher (longer) than (19.88± 1.72) kg,(6.27±0.46) kg/m2, and (51.84±1.98) cm in the control group (P<0.05). After intervention, the BI score, BBS score, and6MWT of the observation group were (59.30±4.52) points, (48.25±3.76) points, and (441.66±31.42) m, respectively, sig-nificantly higher than (53.07±4.70) points, (45.81±3.71) points, and (417.59±32.85) m in the control group (P<0.05). Inthe GQOLI74 score, the physical function, psychological function, and social function scores of the observation groupwere (78.23±6.52) points, (73.24±6.85) points, and (77.26±6.13) points, respectively, which were significantly higherthan (72.67±6.88) points, (66.72±6.91) points, and (73.05±6.66) points in the control group (P<0.05). Conclusion Aer-obic exercise combined with progressive resistance training has significant intervention effect in hospitalized elderly pa-tients with sarcopenia, which is worthy of clinical promotion and application.
      【Key words】 Sarcopenia; Elderly; Resistance training; Aerobic exercise; Quality of life