太极“云手”对脑卒中患者心肺功能的影响研究

发布时间：2018-01-12 15:44

本文关键词：太极“云手”对脑卒中患者心肺功能的影响研究　出处：《福建中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的探讨太极"云手"训练对脑卒中患者心肺功能的影响,为太极"云手"改善脑卒中患者心肺功能提供科学依据,以期形成一种适于社区推广应用的改善脑卒中患者心肺功能中医康复适宜技术。方法:采用群组随机对照试验设计方案。从福建省福州市共招募合格受试者80例,太极云手组40例,常规康复训练组40例,最终纳入分析的有的有75例。太极云手组由有丰富经验的太极拳教练指导监督下进行太极"云手"训练,常规康复训练组由统一培训合格的社区康复医师进行常规康复训练,每次60min,每周5次,为期12周。两组分别于干预前后各进行1次康复评定。评定内容:(1)采用德国耶格公司生产的耶格OXYCON PRO PC型运动心肺功能仪测试心肺功能。(2)采用健康调查简表(36-Item ShortFrom Health Survey,SF-36)评估生存质量。(3)采用改良巴氏指数(Modified Barthel Index,MBI)评定表评估日常生活能力。结果:1.心肺功能两组心肺功能各指标在干预前比较均无明显差异(P0.05)。组内比较:干预后,太极云手组肺活量(Vital Capacity,VC)、氧脉搏(Oxygen Pulse,OHR)、收缩压(Systolic Blood Pressure,SBP)、舒张压(Diastolic Blood Pressure,SDP)较干预前比较具有明显差异(P0.05)。常规康复训练组最通气量大(Maximal Voluntary Ventilation,MVV)、最大摄氧量(Maximal Oxygen Uptake,VOmax)、VC、每分钟通气量(Minute Ventilation Volume,VE)、OHR、SBP、SDP较干预前比较具有明显差异(P0.05)。组间比较:两组心肺功能各指标在干预后比较均无明显差异(P0.05)。2.生活质量两组生活质量SF-36量表8个领域得分在干预前均无明显差异(P0.05)。组内比较:干预后,太极云手组SF-36量表8个领域得分较干预前比较具有明显差异(P0.05);常规康复训练组SF-36量表中生理功能(Physical Functioning,PF)、生理职能(Role-Physical,RP)、总体健康(General Health,GH)、社会功能(Social Functioning,SF)、情感职能(Role-Emotional,RE)及精神健康(Mental Health,MH)领域得分干预前比较具有明显差异(P0.05)。组间比较,两组生活质量SF-36量表中PF、GH、精力情况(Vitality,TV)、SF及MH领域得分组间比较具有明显差异(Z值分别为:-2.660,2.295,-3.487,-2.366,-3.525;P 值分别为 0.008,0.025,0.001,0.018,0.001)。3.日常生活能力两组改良巴氏指数(MBI)得分在干预前均无明显差异(P0.05)。组内比较:干预后,两组MBI得分较干预前明显提高,且较干预前比较均具有明显差异(P0.05)。组间比较:两组MBI得分组间具有明显差异(Z=-2.577,P=0.0100.05)。4.干预过程中,两组均无不良事件发生。结论:12周太极"云手"训练及常规康复训练对社区脑卒中患者的心肺功能、生活质量以及日常生活能力均有改善作用。
[Abstract]:Objective to explore the effect of Taiji "cloud hand" training on cardiopulmonary function of stroke patients, and to provide scientific basis for improving heart and lung function of stroke patients by Taiji "cloud hand". In order to form a suitable rehabilitation technique for improving cardiopulmonary function of stroke patients, which is suitable for community application. Methods:. A total of 80 eligible subjects were recruited from Fuzhou, Fujian Province. There were 40 cases in Taiji cloud hand group, 40 cases in routine rehabilitation training group, and 75 cases were included in the analysis. Taiji cloud hand group was supervised by experienced Taijiquan coach to train Taiji "cloud hand". The routine rehabilitation training group was trained by the qualified community rehabilitation doctors for 60 mins, 5 times a week. For 12 weeks, the two groups received one rehabilitation assessment before and after intervention. The cardiopulmonary function was measured by OXYCON PRO PC cardiopulmonary function instrument made by Jager, Germany) and the health survey summary table was used (. 36-Item ShortFrom Health Survey. The modified Barthel Index was used to evaluate the quality of life (SF-36). Results: 1. There was no significant difference in the indexes of cardiopulmonary function between the two groups before and after intervention (P 0.05). Intragroup comparison: after intervention. In Taiji cloud hand group, vital vital capacity (VCN), oxygen pulse (Oxygen Pulseus). Systolic Blood pressure, diastolic Blood Pressure. SDPs were significantly different from those before intervention (P 0.05). The maximum Voluntary Ventilation in routine rehabilitation training group was greater than that before intervention. MVVV, maximal oxygen uptake, maximum Oxygen take VO _ (max) V _ (+) C ~ (2 +). Minute Ventilation volume and OHR-SBP. SDP was significantly different from that before intervention (P 0.05). Comparison between two groups: there was no significant difference between two groups in cardiopulmonary function indexes after intervention (P 0.05). 2.There was no significant difference in the scores of the eight areas of QOL SF-36 scale between the two groups before intervention (P 0.05). Intragroup comparison: after intervention. The scores of SF-36 in Taiji Yunhand group were significantly different from those before intervention (P 0.05). In the routine rehabilitation training group, the physiological function of the SF-36 was physical function, and the physiological function was Role-Physicalus. General Health, Social functioning (SFS). Emotional function Role-Emotional Health) and mental health. There was significant difference in the scores of MHs before intervention (P 0.05). Among the two groups, there was a significant difference between the two groups in the quality of life (SF-36) scale, energy status and Vitality (TVV). There were significant differences between SF and MH groups, the Z values of SF and MH groups were: 1% -2.660% 2.295U -3.487U -2.366U -3.525; P values were 0.008 ~ 0.025 ~ 0.001 ~ 0.018 respectively. The scores of modified pasteurization index (MBI) in the two groups were not significantly different before and after intervention (P 0.05). Intragroup comparison: after intervention. The scores of MBI in the two groups were significantly higher than those before the intervention, and there were significant differences between the two groups compared with those before the intervention (P 0.05). Comparison between the two groups: there was a significant difference between the two groups of MBI. During the intervention, there were no adverse events in both groups. Conclusion: Taiji "cloud hand" training and routine rehabilitation training for 12 weeks in community stroke patients' cardiopulmonary function. The quality of life and the ability of daily life are improved.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R247

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